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HomeMy WebLinkAbout1746 ? i ~ 4~49592. CERTIFICATE OF DEATH _ - - ~"M' f L O R 1 D A ww au ro. 28 2 ws~? tr~nmc~ ^'K oecea~rt-w~rc n~u woo~t us~ ' sea M1E W Ot~M ~ Y?. bl. ~ a•~• DOIC1at~o E13q3+o Male , MaY 6. 1979 - Kapt ~rt ~K~..-. t. w~~. Yd. ~GE-tw a.+en v~oEr ~ veu woEt ~ Wr Mt! 01 MfM 1a1~. In. n.i cowtt or ot~a ~,,...r., „o, ~ "'°'~'T-""'~ ~eb. 17, 190 . St. I~ucire 6602 ' .~ibB ~ 7~ ' - c~n, mrw a~ ~ourqH a a.n~ we+~u? a ont~ nsnroia~+~.. ru .«......~.......r u wa? w na~ ~w~.s.~. oo. a~[~•_b-_t1~T1L ~ F~t p~~l'~O@ ~~JOOd ~~81 ~ ~a lI~~l ,w x. - ar~tt a r~m iu..~ i utaw a ww~t carow r~ee~tu ?EVCt r~ntn. ww~wa sraist ~~r ••r• ~ ITJ3i.1-~. ~~r~ ~~rf/ W1001MEd.OfVOj~~ p/ll~dhl _ _ ~ s _ _ j,~~~~1 ~ 1~1Mt ~l7~OPICt ~ yLQ.i ~J~7~1 10. ~i7Ra 11. j~ZB~ ~IR~m{.«ri wMCn oea.seo u~io u u•.~ socwi uaMm Mwre~ aw~ ooaw~rwa ~c.. rr.?..•i ~•w ~ a Mn~w~l~ ott~w~[o w remutqa. fave & .,,,~,~~,,.a.. 710-03-2142 ~ ~~~va hr~~neyu~M,a ttLOENC!-SG1E . . OOINIr UTr.IOM~~W IOCA2f1w0N~ . Me~~Oq ~~u• ~V~1a S4iaG~. S43b, 1'i~Lii~O Ir aS~.• J.A/~ii7~ ~~t. rVib p~~+ ~ ~4 /~TN[\ V~YE felSt M1~1! lAS~ T14!-MLM[N ~MYI ~IfSt Y~OOIE P8t]Z El.1C~10 (~~1e~ ~s- ~NfOfW.`A-?MYE /t~M r I..r1 1lING ~OOHSS St~ft/ W ~ f O ~O. C'~~ M TOWN . S'~iI Z~~ Iau~i.se Eli ' 2107 Sauth lOth Street, ~o~t Pieroe, Flarida 33450 ~ytUl. CfEMA1WM. ~E1~OVAl.OT4~ /lMu/s1 CEMftEfr Ot CtEW~TOtV•-?MYE ioar~ u~v w-o~r., - s•••e White City Cemetery Ft. Pierce, F1. 33450 _ q.:~... a ~ ~u~ w~ ~ ~ ~ . ~ Y8tE8 F1]~fe]cal IiORIB• IY1IC. ]Oa T~ ~ Mw . dwr rd 71~- Ow ti ~we ~~.sw~+io~+w a.e,~, .ww~•4~'a~.. .w .~r » w~. se~ . - ~ M~ rd MMA. t~ \ KO/Ad M M rwr. A~M rM M~ V~e dI ~~M f~.MW ~b'N- /l.~+r. wI lil, s~ If.~r~.~ I.WI, O~fE S~W.lD /M.. . Y..~ wu~ o~ a~m WTE Wd+EO ~M.. Oiw. f..l wQR O~ DE/~M ~ ~ M S ~I YIC ~ ~ M ~ ?1~ IyW[piAttE IiOT11EfTIMNCEtt1flE~/irM~/^~/ = MONOV<t0O[~DlVw.An./•.I MO`+O~?+CtODUD~Y.... i ~ 1N Af Y 7t0. ON lOd- nw~(-wtip wOqESSQf CalT~f~E! ONrS~CW~. MEOKAI EaAWNEq Ii». r p.rl n Michael J. Costello, M.D. 2215 Nebraska Ave. Ft. Pierce, Florida 33450 o~rt ntt~vto n~[trsie~~ ~r.., w.. r• ~ ~tG~uut . , ~ ~ ~~r n?. MaY 9, 1979 ' ao~wr~as i~...+..~? - i N. ~yy~qA/E ([~7tt MLI O~[ L1 IlR LtY[ !Oi fd. f~l. .~~0 Id.~ ~~rA~ w• ~ n!E r0 ~ S ~ , ~AlT Id ~ s~~ ~ ~ % ` ~ „r.,,,,, .~e e..~ OYE 10. Of A NCE O~. II'IC~ j f~f ~ ~ Z i " ~ ~ ~m.a~ . . . . p~-~~--'~ .rut~al r~~oKr~sr~M w~.susEeE~fntotOrtdUt . o,~..~?K.N,~~~~~-~..~...~....~.~,. a.~. , E....~.<.,,.~No" « . n NO r1 .ccw~~rt. f~ntroe « ~'f1 w~[ d~~wr .r... w.. ~ ~aw w~wutt u3cenE ~ow wron occuee[o ~ ~ ~~ipar',OViOt. «wotturu~EO rs~«.~r' . - - ~ ?7~. _ -_~?TC_ _ "_Y I7)d . I~S IM~l1~, iHM~ Al WO~t /S ~~h ?IACE O~ /NJIAT'~t /M^~./~1s..~. ~wer. ticw~. oN~~ W.M~M- l(X~I,OM Stfflt O~ 0 /i Uir Of 1(1~M~ f1~T! IM~~l~tN~ y 77/. ~ r~~bY o~~Y ~ b b~ • mit and aorr~ct coPY vt tfw Lou~ Rpistrsi s rscord on fil~ in the St. lucb Gouro1? H~+~ ~WA' 449592 . rrwnt at FoA Pieroe. Fbrids. (YNaming: Not valid unlass roised seal of th~ St. ~u~. :319 J~:i 2~ ~ i ~ ~t~ . ' County Hea lt h D s p artment is affix~d.) ~ . fiL£p ANC~ Gt~Y~tU ; ST.4;UCIE CO~tiTY.F~a. r`~ N. D. MIIIER, M. D. I~iD6ER P017RAS i~t~IFi:tiiT C"v" ~ GouMy H Ith Off~cer 8~ t~oc~ Rpistr~ ~r.D1'm~Y~R1F!~C ~ S7 ~ ~ • pepufy I.oc~l Reaiat.,,r t ~ ! ~ i ~ g~~K 311 ~A~E1745