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HomeMy WebLinkAbout2055 c; ' . . :i ~ . ~ . ~ ~ ' . . , ~.1 . _ `1 ~ y.. ~ - . ~ _ ~49'~.a~ERTIFICATE OF DEATN ~ ~ .....r.r ~.~.,....+++r~ri.. w~ ~ F L O R 1 O A na me a~ w.r °~°°rw-'W'Ne ~rw reo~e ua ~ ~ wn a w?M rr.. r..~ . S~y • ~T~ : MaLe ~June Y4 19.) MAQ ~i MC~~•a~ ~ Mi-y M/~~ MO~ ~ r!N ON ~ Mr Wt! O/ MfAI /~r. fN QOIMIY p NAwI l1~ 4~r?rtJ f~~J 99 ` . ~a ~ . ~ June YO 1901 i?~ an. ~orw o. wu*+oN w.enw~ io.~w a o.r..srmna»-n.. a........ r•.....r r ~or. ~`M~~ VQhO B?•L~C~t h, IM~L[Il ~VPh ~?JROh.tL~ H06p~i~1~ ~f1 p~. ~~I dIRM p 1MMi ~IMl~ ~M~, ~~`'f~1~Yi1 wINN11~ ~OIM I~ 1Ik w ri~ r/ I~Y1l ~~}lwIQ ~ ~ M.~ I~IM/Vi~.~'i{R 11. Qh~ Wh~n ~ M Nr~ 1~M1 d00M/10N~/iY~ W~/ M Mr ~ . p MMId O! ~OIf1fV ~ '"R 07S-09-207a S ' ' "~!Z~,~`"' ~Bwt~t~oughd-WeLtco~e CO. ~ ~~s~--w?~e an?. ~o.~a wc~?,~ow ~o ~..rs ~~eea - r.~ l~,o~t~.fa S#. Luc.ie Fx. P.f~tce ~303 Laketand B[vd. "'"~o ' M1l~..MI1~ ~i tlICOI! IA{~ w1r! ~li~ - M~OOL! Uf~- M,t1~w~c Whi,te L,u~c,y ~ E6t~Ca,wltii,te .rn.w~w~r~r. ~,y.. ~..u~, uo ~eo~ a~ a....e. ~a a+. a,ow+ - w?n s ~k Illanga~t Wl~i,te 7303 Lak.e,[and BLvd Fx. P.t~ce F~L. 334S0 we~a. arW?na,. r.wvw. a~a ~~y.w„ nr~n.. aa ~r~w~r_..w.~ .o~aia. an oe ,wiw srwn Gtea~a,t'.i.on Nee~ton C~ierna.ton.iuin Wesx Pa,Gn Beach, fl. ~ ? &lIRO FLINERAL IIOME ~+i ~ . • M t~a ow r Mw M~r.~w. r qr ~r. rw~? ~ pi~.r.• 1W), s ~r i~. M wrl~ wd f~ r M~ ~M w~i fl~Yrr+~1 Tiie), ~ m?a yar iw. ~ a w o~n s~or~ tr.. w.. r.,? iou~ or oaw~ ~ ~ i Z'~? ~ r~. tr~ - r wwe p r /ww asrr+Rls~. ~ ~~cf0 Ouo I+r.. w.. s.J MOwO1M[m ouo (M.l !K ON ~ T? AT - ¦ W1Y! MO A00~ p Ql1Y1l~ ~INlOAI~ YIOKYLL QAMOQI IT~r ~ pir/ i ~ Keith N. Kirb M. D., 3403 Ucean Drive, Vero Beach, Fla. 32960 ~ °O~"~ wn ucer~n rr uoww ~r.. s~ s.~ i Oo~eit~0~i sfa ~k.un~ ~ ~ ~ - . E ~~yE fb rArm1111! [Of<t rtf prt t/ISt 1Q tarl JpR /~JL h]1! !R!- ~ wrM1 ~wr ! q111a1?tE Q,lf M - ' ~ i~4~ M~w ~M~ GI~ W~ OYE 10. A ' p/~ ~ M . 1 out lo. oe ws A ao~sea~l@IQ or. 1 r.r.d ~w.....i.. r~ ~ i ~ ..r~.... rw r.....w r~...~... r.~.. ~ w wiors. n..w, r~s u~ .era~o ~o reorc~~ r s««..~ ww~~rr.y,l~~l.~ ~ a ' S • !f. 7R ~ « a~n rwr rr._ w.. t..I Moue os w+iwr asuMe ww ~,unr oaatueu ~ /~hr.~Y~? a? r ~ s WIIlt A/ MOt /lw~Y~ l.. NAQ p~Ml~Y-~1t 4w~r. rM~, rurl. ./s wMy. lOGT10N f ~ 1i I~ SI f. ~ AJ rc. pl~I/l if~HT Ot tfA. M~. dT? p 101M1 pA1E l ~ ~ ~ 'r d - ~ "I HEREBY CERTIFY THE ABOVE TO BE A TRUE AND CORRECT COPY QF THE LOCAL ~ REGISTRAR'S RECORD ON FIEL IN THE INDIAN RIVER COUNTY HEALTH UNIT AT ~ YERO BEACH, FLORIOVI • K _ F TFIIS ,iS'' U+ILESS THE RAISED SEAL OF THE ` IND~. , HEALTH t~1IT IS AFFIXED. ~ ~ _~:n:. C ~ • ~ _ ; , ' ~ Y ~~~.A~° ~~'i - • ~ z;~~s-.~Tt~~.~ 449'7"'!3 e : ; . • a s ~0.~~~ ..,:.>,t~ f; 19T9 .1U~,. -2 rUi il~ Ob PUTY REGIS F ' s,: ~ . ~ ~ ` ~ t'• _ i : _Y-''•- ? ~ ~ ~ti Al1U kECWtutO _ ~';~~i~iwi j1~~~ ~ ' CdUNTY.FlA. ~ PQITR1tS - ~ - - - j } adwc aRCUn c r i Rf~D01r YfRiFIED ~~~~J • . 3Jvr •J-~1 ''AC~~J~ :