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HomeMy WebLinkAbout1036 4 - - - • ~ . ' a < . - ~ : ~ f _ . - ~ \ ,r` . t.~- 1 458430 CERTiFICA'i'E OF DEATH pfOefl«enE d IIT.IIh d ReIV4NletlTe Sankrta RATES ttlLS K0. E>tVIS10N of IswlTll FLORIDA - Tr?E. OR ?RINi IN fswrr«stls?e1.fr+lr 11cO1tTRA11•e NO. 127 MRflA/Ntrt IIIK ~NAflt p,p rrwc u i OA liar T. Nut ~ ~ ~ Grace 1Vade I~icFadden f. Female , Februa 26 1976 RAC! tner. INafO..llfffCfr wlww, AOE-IAN f 1 s • 1 T OAfE Qr MtM tflaltel, Ms. Cq!?ITt d OEI?]N fK. 1fflCIIT/ - T1TWfI .10f. YTf fleet' det. TfY/ 6 e ,Oct. 25,1919 St. Lucie 6602 Nfhite - . t A arfN cn trrf Alp Ir 1101 « tnlMe. a1Tf ft~tt w IIrfIM 1 srKrr tff Oe //o - w r. emprial ]~psni tgl _ SiAfE O? RIR/N 1 r rOC « e.fs., wur CITI]EN Of MIIY1t COU1/1Rr MARMEO, NEVEt MARMEO, f1f0 Sf'OIISE tr .rlwlawf sl?rf11 Isw / Calwflfll WIDOreED. OfYORCEp 1 YKfm _ .u MfyTllp 1. f. N. ~ 11. .+atN efccuee SOCW iKUR1Er NIMfRER USUAL OCC11?ATIpN Ie1Te aw a gaff e0u1 ff1«IO t10N a RHO Of MKIIESS OR /)01RiRr i I~.Ie. r efAfe OCtefffe « rOffefe Irf, !T!r P fftgq 1 IMftItellat. •Ila Ir. Uf. 1>t. It UflNCf 4tOM RESfDEncE-srArE coll?fn cmr, towN. OR LOCATION ~ crrtelrf s t _ I wcr, n. a~ ro `~7 ,y lw. Ia108 So 35th St . fAhER_NAME .Iql frelf IAN M~ipER=MAOEN/tAIME- _ aMt rrwt- - - uM. 11. if Unavaialable IfIfORgANt-1fAAAE Aufl/N(I AoaEU Ntfffr a Ifo . crT a tpva, fur. t?1 - In. 1 8 So 35th St. Ft. Pierce Florida 33450 ART 1. OEA1N wAt CAUSEO sr. IENrER OIRr ONE CAUSE I'(# 1NE rOt NL Al A?O k11 feraffr o/ra w coal . N. _ _ . t0wemowf, r .ur / /rrfN•n c•eN IN. MM t0. ae •f c NOMKf o1: 1t•tlMa twf eMeN- tT«a t•eN UN kl 1ARi R. O1NER SH1N1?ICAN1 CONWr10c1S> cowewlOSf co/efrw.fa a « fM score a Ueff anT.l w rut / Ia JWIOK/ i rEi ten aaelwas cor- ' I •Ff Of / flelfN « NNf«a«a fAfM 0/ efnta Ile. O Iw ~ prWhrll 1 roan. efT, nu / Now INr1Rr OCCYMEO 1 f.wcf wteff or «wn « rsN 1 a rut r. far u c j IKUJOOtt O~ IIW~cE~NMR a >w 1M. M. rY. fMf i ~ nTf oc~..o1 oala w~ia~~fnc~' ••s.. srstn. I.cws•. IOCAt10?t 1 faen o{ {.r_e. ro.. cr• w w..1. a.w 1 - . f 1N 111. ; ff cEfrfSlCAilOf1- rOr111 M1 Tfnf rOat+l NT fN1 .M ufI Yt• w~/Rf Y/.t Or / M/Me aOt TM~ 1wt OtATN OCCYtlE .t FR {uLf. Oa1y flellttl M? tfY feet •Rlw eT•«. ,wpw1 MU •Ile w) t1r MN ?NTfK1AN: _ ~ _....._~~.w. ra ecasNe Ifo. Sy 1111 V ~ ` 11t ~ ~ 14 1M~'Z M. Io w c•efclfl suf»_ CERTMKAtgN-MNMAI EfA/AMIER OR t• oa IIr f•fM a tw1 wow b ec. - tat eftlefM wf /fa110MKle ecu - tturutlaw M M IOeT •M/Of Iff1 a1Tlf11W.1o..1, w ~ O.ww011. ra.Aw MT IIMe ef•tw OCCwfle 01 twf MN rA eY! t0 elf t•eNlf/ ft•Me. ] ~ ~ ~ .A ~j _ I 2 ~ K 9 ` +/-~/I/- ~ CERT1f1ER-NAME W rr/n tlll DA ITfY - ~ Ilf V ! 7x. lk. ~ MARRK' SS-CERtIr srrct M s...e- 110 c pra 1>r ~ ~ ti SUMAL. CRFANi10N, REMOVAL Rr OR CRE -NAME IOCAifON cn. b ora fur / fncrT 1 1/. Buria'_ r,1N1]ite City Cemetery ~ Ft. Pierce, Florida f OiiAiE /ra1w11, e•T, nui ii1NE NOME-NAME Aop~ESS . frnn W f.r.e. 110., trt W M~r.~l w r ? ' ) 1s. r F /t rr /1 ~n. Pt 7 r .ri'. c . F~o r .•~~c ~ ~ v. S. •6 ]2 tIR/[RAl REGISr ru[E ~ Irl~ er /OGt f1o1Nw Rev. 1970 ~ j~ y ~ ^r/ ul 1 i ~,y certify Chu ro t» s trw end correct aoPY of the t~ocsi ` • Rplttre/s rooord on file in the St. Lucie County Heelth pepel#- rrter?t et F•oA Piero, Flaide. (Wernir?y: Not vNid unless raised seal of th. st. tuct,~ 19I9 SEP 12 ~ ~ 26 :.11•-~~~~~:... County Neelth Qepertrrlent is effilled.) _ ',.~~ii 1 ~ Yd y' - FILEO AMO RECOnUtD r.;• t~l 1. I', - ST.LtDCtE CO~~Y.fLA. ~ ~ ~i't.... ~`':L ? N. p. MINER, M. O. ROGER P RAS ~ ~ ~ t, ~ , County Ith Officer 6 1~]cel Registrar CLERK CIRCWT T - ' r ~z r ttECOIiD VEP.IFIEO_ ~ - 't ~ y/ pefwty 1,ocei Reoistrer 4~t30 _ Ali t ti - 1~;. ' ~ . ~ - 640X e~1V P~~~ -