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HomeMy WebLinkAbout1081 . ra~.:+~aur.au~ayaa•~ ~ . ~sui.--w t~,.'• ~ . • ' ~ , ~n p,,~.. a, „~,~,TM • . CERTIFICATE OF DEATH ~ MI~AY M ~nTAL ~TATIIf1o~ tTwTt IILS Ito. FLO$IDA S42 I~~GISTIIAR'• NO. F~• 1. ~ i/ M~1M COOt NO. YW tt~[NKrCt(~L.~Mr~Yr; J/t weMd.w: t~.MrMf~W.rtM) `K'fz S Lu i 66-025 • Starke s~N. atr.'~aw. o~ wanoN e. ~s rua or oc•rn s. aTr. ~o.M. oa wuta¦ ~s u~a~u l~-.N?•.- . ws~a utr uMiTS~ u~s~a ar~ ~w~rs. . ~ .'~a ~ 1'ES MO? 11[S ~0 wrc or ~y.~t b Myi~1. ~+.r.r.rb.«) R srncc* ~ooass ~~~~A D.O.A. F!. Pierce Mem, Hos 633 Clark Avenue S. W. w~~ M I~nt ~tw~. t.~r atc x..u na Y~.. ~ John Nclin Go don D mb ' ~ ~i OOt+O~ 0~ Mtt 1. MWi[O ~ KK~ IW~KO MTt Of M~TM 1. Kt U~ ~w~ r uwa ~~w v~ot~ ~ - IYf NrfW/) Ywrb 0~~. Nwn Iit... i a• a„~„a, June 1 1902 67 >l~iu~ ~~oawr,o~10~. ./.~r I.~e tO~.RwoorwswnswMOUSr~r ~i. w~TwualBr.w../r.sy.as.n~~ ~ a~aa.~.•mrrt¦.~ ~t{U MN Ir~y..r w?lrrMA. «n Mpw.A ~`.'a~ G O ;i •I t~ t IYY[ 1 YO?~'f r~OL~ w1r[ !ss•~s+~« PYatsklin Gordon Sarah Brown ~oan ucwf. w. . • sww.ws - wwn« - o k A W O' :~~•l Il ~~ws N wTM Wir w aw ~er /w /r l~. cN...~ u).) urtc~v~a ~vccr («Nt~~ ?~r i eurn ~.s wecn w, aacT .¦o ou?TM ~ i~~~ w~ca.n cw~s w Natural N~• .?N~~t~ ~ yrfr~. w[ ro (~l . ~e ~ ~ i ~Mr a~w (i~ ~Eia~s~ ~ aw J~«r. ouc To (d j~~~ IYT IL A~M wr1Cr1 O~rtql{ OoOM111M ~0 Oun~ R1~ M0~ 1lwUf f0 M/~wwl OqGft OOrO~iqM GIYO~ w M~i 1(y . lrl~S ~UTO~Sr , N ~ , ~ /~MO~ME01 • Hf~N ~ ' r[S O ~O ~ •t!~ y~ AWO[~T SwGO[ ~K~Ot 70~. otsc.~ut ~ov wuRr octu~nto. 1t~u? ~~rwe ynj~y 1~ Prt I r Art ll y1u~ u.; I ~~~s• Q . i ~~t ~~r Nwr Iw.e~, on. Y..r ~ I E wlll~T OONIM[o ~r. IlaCt OI wNllr p. I•. 1~ r M~u y~. ~ , AT O pT ~R O M~. ~M~. ~f14f. Mtt M~I•. rft.I ~ CIT1. TOwM. OA IOC~T1011 COYMT? STAT[ MR ~T ~R ' ~ . • • !1.?~tN~rM/1M~w~N/~w V . ro never •nd/w~w~ A/w ~Ii.~en never ~ fA ~~arrrN ~f ~ aw~ ~w flr l~t~ N~Nd ~iw~: ~wI t~ tM 1Nt o/ iw~ tno.Mlp. /~em tM uuw ~f~r~d. ~ ~aq~ (p~... r wtr~ ' tL ~oouss z+s. wTC s~cwco ~ s! ,3~ M •~M•s• a Goroner . Courthouse Pi 12- -69 ~ +Mw~a~. . w~[ t7r ~re or arct[~r w ear.~r ~r. wuTas e~1rr. a... r a..ep ear,r.~ ` Rabva~ 12/6/69 Forrest_Hill Sta k Coun O' ~ r. a.~sis ~ s sar? ss ts.'an Rcw. n~x ~ca . ~casru~~s s+c~. u c...~~;s -~,~l,,,~ ~ates ~un`eral Home ~~r 8 196~ .~•/Q z ~ . _ k ~ ~379 .!L°:_ 10 Pt~ ?n ~ i I~EO AhU ~~'r::,i.U ~ ~ s~r.~uciECa~yrY.F~:,. ~ r ~ ~ ftOG~R POITRAS _ ' , . ~ ~ CLERK CIRCUI7 CO'j~tT i. • " ~ • fc~_CCcD.ir.~.~. , ~~,1/1'u.KL_ , i ~ ~ t1Klby CM1MY Mi~ b b~ • fftlf ~nd COfriA GOPy OF iff~ tAC.~~ ~ ~ i ? ~ g Rpishar's noord on fll~ in 1fis St. Lutf~ CountY H~afth D~p~A- ~ , = tnK+t et FoR Pieros. Florida. • ' ; ~JOb~b~ 1~~, ~ f ~ (1Msmirp: Not val~d unlsss rei~ed ssel of th~ St. lud~ _ , ~ 1 artment it affixsd.) ` . , , ~ County Hee th D~p ` ~ ( . ~ ~ i ` ~ N. D. MILLER, M. D. i ; Gountr alth Off~cer i Lotr R~qah~~ ~ ~ ' - ~ _ F ~ pZ 7 A/ .D f i~~' ~ii. ~t//~r ' pr~ pptAy lpt~l Reoi~t.,~r ~ ~ : - ? 3~.2 P,~,~ ~.0?9 , : ~ s ' ~ ; ~ _ : ~ - ~n.ia.:::. ~,;,..:r. - ~ . , _ ..r . _ _