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Home My WebLink About1122 ~ 450890 ~ 9twte of Fiurirl• CERTIFiCATE OF DEA7H /7ATt Ill[ HO Depulment of i1c~116 ~nd Rch~bilit~li~w Aet~i~e+ TLORID1l AC(LICIRAR! Ho 37A V ITAL 37'AT[tTTICt; .~wl ~.a. k¦ DA/l W pq/N ..orr.. .~~u TYPE l'N Pfi1N? °~«•u~_~.~' A~RION Jut.~ 2t ~9.» A, KiNG ~ ~hYe , vktiMANENT ~ - . !lLACK INK UCt ~r•a. •~~k+. ~r~~r~v w~aw, •OI --~~q w~e~~ ~ ~ C~1f d ~ytN ~rrw. N•. COU~~I~ O~ Ol~tN o~w~. ~~au~ ~ :wi~ a.. ~ IK. ~Wtw~ ~q~; S_t Luc.i.e r,c,o2 ~ Wh.i.tc ~~64 _ w' _ T----- ~ 1- i'c. 1 .s----- N1 r w rr ~iM~. aM ~~rl• ~M MI+~H ~ tni, ~ow?+: ~ IiK~i~oil bi blltT - i.~. ~.•n i~osn~~t c~ orrK~ ?aui~i[x'~ `"~~~i•1"- w .•na~ f.t. P.iehce ~ee. - F#. P.i.e hc e H c? n o h, i r i. t I l o e p. i, t a L - - t,wvn.iriii~ovse~..,.:..~~r:«»:~:w~ ' • n ~IAI! O~ WM ~ y Nor ~r r~~,~+~r1 Cl/lflN O~ WNA1 COU~1~'I MAtd(O. Nlwl~ ?M~MlO. ~e..~.~ W o c o~~.., ~,tURh~ Lt~l~bn FP.o~t.i.da ~ USA - ~I~NKI 1 ~ " ' . . - . tlcb W ll (XCV~At~ON ~OM ~W M~rM M1N MrM ~W1 M tW d M)S~MSS d M+O~SI~~ ~~.~0 N M~M S«II~ u~'IN~I ~1M~~~ {~w - . CC!~NIOM ~OMMON~.I~~•~M~t4~N1 201-10-81yY Mecfu~n.i.c _ „~St. _ Lnc,ip. Co~m.tH ScliooE i'wnh u~rru Nww li..•~- - ' ~ .:i+~ c~ irw~ ftifli ~u~b ieJWl~ ' ,w~w+. HLOl~+tl-S~~M CO~M~~ Clfi, t0~+. W IOC~i~W ~o~r. e..~o St Luc.i.e F-t. 1'~.ehce ,u 1~e.e 2603 Jch.eey Ave. ,N Ft~h,i.dn ,M • ~~N MOIM~-W~HN~w M~~ r~M1 IAIW~-N~M! ~N~~ L W C K.i,tq Lenn Whe.ef.eh n • • ~tARMG ~OOKSS ~ ~an~~~ n~ ro . tn. o~ row... ~..a. ~r~ • IMQ~M~NI--NAMI &ihGMa K.ui ,n 2603 Jenbc~/ ~~e. ~~x• Pi.ChC¢ F.P. 33d50 Y~ . IIVt 1. O~AM MA~ C~USlD ~Ir~lU OM? D?Q UYSf I(~ IM[ !p Nl. I~L ~~+0 k1I N~.~Ir OrN~ ~M N~ti N -"c.li~'i1I Z iif ( ~i2 ~ ~~~,9r~- ~(~<<.v~l _ a....~.e,,....... I(` ~Irt.li~(~_1~~.~~\ ~.'c¦ ~•n ~n~ +d ~ 1~1 4 ~rrlN.~~ (.1r~~ ~M. ~i~j a .f i tO~1~+ci d ' a::: ; ~ ~,,~.rt ;r~~ n~C t~,s4n Sf cc~?~------ n~ thllti•ii?ti ~~~s4J~.J~ ~ - - ~V~o~fr r ~rs ~n. .,.•...e. co+ I~~/ ~ OMt~ !~O?MKaqI CONOUWNS~ ce+~wn cwwrw... a M... w~ wun~ ro t.•w w+~r w.u. e. ..o~ VNH~ w N~~~r~.~wr~ l~tM ~ o~ w•• ~ { \ E.~ Nf . . 'rMOW INIO~t OCCU~~(D ~ ~.nt M rw~. ~r ~ M~. H. n~ ' ii•:i.~'v~ 1~ci6f•;t'fiFtiol b~`~6~1i~1Q~•e••:, Ii~i7U~ I . o~ voinw«n~ . ' +w I'" N ; ri ~ , ~ tMNtt ~t wO~t M11C! d N1V~~ .o.~. ~•wn. •.~w•, ~ la~hON ~ ~r~~r~ p ~ , • ..e . ~e. e~ .p.«. ~ ' ~~nc.r. n~ e~ re~ en~u wN.~K. ~wcwr~ ~ ~ ~y Nr n.~ .t+.w~ ~r u~r t~~....r~~..r or . ~~/.~+O~:w. ~ ol~~r~ O((u ~IO .u<~.~'r. w~ ! Cf~tIK~1~ON- - - - •r.~ ~op.•w~M.w~ ~.rr(.~~ i ~.n..w... r. ~v . ~ /M~LKI.N I ~ 10 r ` M rr ~rr~~rro~ rw ! JJ l1/ t ~ ~Y r~~,.r ~ -r ~ ~O M UYNq~ ~uN• f It• N.r.M.~aM.. ~ jt1~ - -----T w ne.oo•.c.-~ iiw - - - - - Ct~t11K~11f1N--wt1KAI Ia~1M?Mf W C(N~~ w~1 ~.s.~ e~ ti M d M•~ 1' ' .rw~ ~ ~~~rH~r/l+ fr M YMr ~y/p~ /A M~~?~0~~~. M ~w M~wb~. r~. . M . N~w~ KCM~N d+ ~ NN M b w11 [NrNN~ f~~~• ' ' " ' ' _ A ' . . " ' ' IH "l~ - n *6 t" r..w..i. ::..i-- ' ' ' ' _ (1raa ~l/~i (J ~ ~ 1 ~ ~ Cf~IVN~-NM4 .w~~ W • "l 0 LA- • f' «,L{r, ~ C~ . _ n~ ~ ii -~~.~f' ~ • G U u~ ~ - ~ ~ ~ - ; - - - ~ ~ - ~ .j~~~~;--~r~~~:--~-~-, o---- „„.,o.... =z ~ r iZc~ ro fY L ~I~~IKT~ ~ .n R++r ~.~r~ ~UUI_ CtiMA11pN. t~MDYAI C ~Mtl~t VR C/IMPItMt--N~~M ' ~ _ P~chce r~ ,•nc..~ Blll4(.II~ ~~l,et~CllP.b~ ~1C'JII. Cit~?Lb ~a ~ - - 1N N~ - . . . - . . ~ - - - - ~ ~ 'p . .ii~. iV?+f~• i i_~~~a~( ~r NrfS ~ a..~..'~ r• n"~14.Q~~[Ce~ FL. 334 SQ o.se ~ F uiena~ f~ ~mo., 901., N. ~~ft S#. .~.p: ,w JuCc 6. ~~37 _ , 4G~Sq~ . S/f~/i~tWt . ~ o.q nr~r.m t~x•~ p~.~N~~~ ,,.s. ~bti~ ~~:.t.M-~p )WN:~Un- - nnr. t/7s ~y~ -1t~fhi.tc4-•! r.~•f-ll.roit. lf~r~=- ~~u JUl 5 197 ' ~919 J!R. 10 P~ 3~ ~3 ~ iIEU Aht7 F;CUKtitU ~ ~OGER POITRAS~~ ~ aERK CiRCUR CO ~T ~ RECOitD VERIFI:^_G~ ~ ~~j~~-~_ s I i~ereby osrtify this fo be e true and correct copy of fho t,oca~ ~ Regittrer's ~ecord on file in the St. lucie County Nealth DepaR- ~ m~nt ~t Fort Pierca, Flo~ida. 45pg90 ' erni Nof valid unloss reised seal of the St. l~ci~ ~ ~ County Heahh Depar~rt~em it affixed.) l ~ ~ ~ ~ N. D. MI IFR, M. O. . . ~ ~ County eUh Officer d. local Registrer ~ I/ ~i. ~w ' ~ . ~ D~1r Dspu?y LOCeI RCa~c,•~r . ~ ~ B~'~x3~2 ra~E1120. ' ; , ~ _ _ - - - - z ~ . _ . .