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HomeMy WebLinkAbout0720 ~ , t ~ ~ CERTIFICATE OF DEATH . ~'n"""" ~~'d w'r'u' ~"a"' f L O R 1 ~ A ~e. 349 w.,~ww ~ MaO~a-~r! 11~f weota wt ~[s a+u w a•:M.r..w~.. r• ~ a"~ , CORNELItIS WARREN JESSUP bkcLe , June 11,1479 M~ ~M.,,, ~~.r r,~r.. voet ~ rw volt ~ wr wn p w+M ~r.-. ww. r.r aown o~ oe.r» 2'~ ~ - .17 1953 Sz. luc,i.e 6602 < <~v?~,c.z ~ ~ - at+r. ww a wunoN a oaw~ ~u? oe o~ rsrmrta~~... ~a..• ~ w+.. r....r.r ~r.~ ~os. a.~a. ac. ~ •,..~.ti. ' F~. Y.iRltce k lawrwbod Med,c.e,cit C~h. wn a ~~n.. a+a~ a w~.~ aoi.na. .wnio .eva ~ .,.rmw a~oue ru .w..•• ~ N. Cano~"u~a USA ~v .~~ai~u.e~ None . ~NMfD~~O 10Wt l~QA11? M/1~lf I~MI OOOMAi~0~1 fir+ W~/ w~~ ~~r r..+1~~ [MO fff MlMNtlL O~ ~~Olltr~t ..,,~.~b.. ~ No~ ava~i,(able ~y Ca ipe"`~n ~'r. - Cona~iiue.ti.on - - . ~~ar0! pn ..r `f ~tl~64~tTAT! ~AIMIII Oft.101M~p WCAt10M tMR 410 MMYl~ rt f~ ~~.i F.Co~iida S~. luc.i,e Fx. P~i,ehce 1603 Seawiay ~n,i.ve ,.;~¢b MnE~-w~r! wrt ri00~! uW w w~rt NMt r~oote .ws• Rupeht W. Jeeeup Tda Ru,th I~la6e MOW11Ni-IMM~ IbM ~r A~YI UM6 AOOtl! BQp O~ ~ ~ O. 10- Clit d IOwM S'~'! M Rupe~.t W. 7euup S19 Fn,i.ed6u~rg -Rd. , Wine~on Sa.~e~n N. C. 2~ 1.0~ .un~., ar.Mno~..wwn~. ona i+..ed w~ae.. o. ar.u~.o.._„~ne .ouna+ un o. •wN s• RQmovaL - Bun.i,a,C pivck.Cawn C¢m W~.nbzon Sa.LemL N.C~ ~ ~NBAIRU FUN~RAL HOM~ ' . n~.. ~ ~ j . ~.-T rr W ~1 ~~y~ M~ ~erwr M ~ w.r. rr ~wf ?~w A ~r ~w+ ~ ~ we ~N r~~wld ~r~M. ~wr M M w. M~ M u. V~~M ~ Ifrw~• l.bl, s Is~ww1• ~f 6K.l, f wn s~uKO ir... w~.. n~ ~ou~ a a.m ~ wte s~u~co ir... 1.J ~~~TM O U?1 ~E d~ ~ ~ 2: 56 - a ~ j ~ ~ ~ r ~ a~. 6~~2~79 ~ j . ho.~o~i,uo oewo • r..•. c ~ N~t O~ wifrOw0110f~PAN M 011N Iww CHTWl~ f f~ r~wr/ noaa~c[o ow fr.. ~ s oM 6-11-79 ~r 1: 30 a ~ z ,i - N11Mt MO A~d p~N1ll ~M~YdM'~. YEOKAt EIIAYIN[4 / itl~ ~ I~l . i a German Sanchez-Casis,M.D.,Patholo ist,P.O.Box 188 Ft.Pierce F1, 33450 ~ . ~ . ~ O~t! ettl~v[o r~ reG~stu~ ~r.. wn. t• • ~ ~ - . , .June_14 ,_1979 _ . ~ ~ !l W1M1~M1[ CN~! la'1q OIIL1 O~t [~iJt Ils W~'[ IOf lsA. Nb ]111Id~1 ~~.•~rw~ W.~ ~rr w~ s~ tM ~ pvt I r ~ w Hemorrhagi c and traumati c shock { p~,w„6 a..w ,....d ; Oul 1D. O~ As A OD~aeOUB+C! OI. - ( ~ M Irr~qular fractures of the head with brain laceration~ ~ - - E pR 10. Ot At w GOM[allMC! p. ~ wr rw. wr wi w { ~ . ~ p Automobile accident . ~ w+ o.o s~r.~.ac.rn ao~ano~a-a.«.......+~........~. ~.•,+.....«...~.~..•.t ~ w .uiorsr ia...~. r.s ~,s+...f.KC ~o wo•cr, i..~..~ euw,..t~~sr~r.r~...., ~ ~ Yes Yes - ~ v~ocrer~ i+rN.~ o~n p ruw+ rr... r..~ Mou~ a w~~* oiwMe ~wr ~Nn ooaiueo _ Undetermined a? 6-11-79 Und Laying in roac!~_ ~ rw. u wa i+a..r? r.. ru~ a rwr.~..... w.. wo. .w.. r.~..•. .ouna+ smei a~ ~ r e«. ar..o~ .orw .r.-n Ms M. ~ isi.,?,~ ~ ,r No ~ Street o.R~.#~605 1.9 ml.south of Ft.Pierce,Fl. ~ 4 03 3 ~ : ~ - a , nereoy cKt~+y mis fo b. s m,. ana eornct oopY o+ th. t,oca~ ~ ~ 1~ . ~ . R~gistrar's record on file in ths St. ltxf~ CountY HNhh °i~ J,~~~ 25 ~ r lU4 i l~ 42 . msnt at Fort P~erce, Florida. , . ~ arn~ Not valid unless raised seal of the St. LucN FILEO AMO PECOkJ£0 ~ y : (W ^9= ~ County Health Oepartment is affixsd.) SROGERCPOITRAS~ ~ ~ ~ CIERK CIRCU,T.CQ~~r Q~ ` l~t~ ~ ~ N. MILIER. M. ~ECOnp ~"'F~r r- _ C~ • , . : ~ ~ ~ . .s = ' L County H~alth Off~cer 6 Loc,r Rp~tre~ ~ ~ I ~ , , . i 8' 7 ~ , oeouh, L«.~ aeo~«•w. . . ` ~ oI~ .3 ~ ~ Qv.yG~ 1~ ;