HomeMy WebLinkAbout1809 4~;~6'79
at9 t~Q~' -2 A' +I~ 29
f I~EU Anr F? c~~,it
ST.IUCIE CC'J`1T Y. Fi
ROGER POtTf?<.S
ti.ERH CIF~.:I'I ~ C 1:1'•j
4646'79
.
elate of ~totlda CERTIFICATE OF DEATH
t7eputtttent of kedth and RehaMNtatln Berttce~ fTAtR na.c wo
Y17'AL S't'ATI!!'I'1C8 F L O R I D A RcotsTRAR a No 136
TvPE OR VRINI' A `N •rtl• .r«t r. + DA Ant • corr., aa.• .e• r
IN t SOEAN LESLIE lit~fl'Ed'~ E Male , Febrik'ity 19, 1978
PERMANENT
BLACK INK EACt rwR, .nab. •rt/tt•r rgr•r, AOt-t•tt wren + nu - vwt~
t+ w_. CAtt d OtfiN r.orrr- N•. Ct)UM/I d OtATN
ltt. rWlatr httM • q•Nr rM wq. wONf rN n•tr -
~~02 t Waite ~1 E r. 20 1896 Saint Lucie
~j~i3j wsN twr tarrf A - rr.ro• w utMt, aM atMp •rM rrr/ft 1
Wtr• 1,1 M tt0
~ Fbrt Piettae Ye_s _ _ __Lawtnat~od__ Niadical (7ent~er ^ »
A V 1 • r rot r r . • , wul ~ t M O~-MMAT COUNial HARMED. NEr(t M11tUt0. NG S'OUSE r r rr,. awl o•e!r rra. r
• tear(/( t wlDOttrtO. DNO/Ct r fNCrt t
•,r,.t NfMrp . E ~ ! ~ t/ Married It Oornelia Barton
.MM tNtt•t1a _ _ - - _ _ - _
,,.ta r N•tr SOCtAI 3R`'lilft MM'A-RT uwAl QC{NI11gt1 rsM •.ra o• roN sect w•wr rot:
« RNO o• ~UlMEtsS Od MOtIl/~tt
oc<vtta N rtlMrrp trt, Mr w NrrN r
1,264-14-1907 _ !s Mechv~ic u. St. Lucie (baanty _ - _
tl lNtrKt MteM - -
•wtsw i1ES10EftC!-s/alt COIMit tnr, tOrln/, Oa tocAno?t "t+'~ c'^ •rrm ~,~Nf
¦ _ _ ~ rfncr. •ff M r•O
r-T 1. Flarida 1, $t. Lucie to Fbrt Pierce It. Yes It. 816 Da Avenue
MTME~-N trMt rMM1 r•U M01ttEa-At•QrN N•Mt •rft meat tNr
- a William I~mtree 1/ Ma ie Stmrall
- - MAlle,tG AOO/E SS rwnn o• t • a rro , cr. oe ro.r, st•n, tyr
IA QDrnelia B. IbWlt>`'eir' ?n 816 Da Avenue, Ft. Pierce, F1 33450
A. T OtAM wAs tatrsto s. tEN,ea oNt. cwt e•trst /ta tta[ rd at. At A?p htl urrNr o
w1 par
~
~
, tt /t .sue ~ l
corarrerf r •r. a.~' ~f~/
.¦rcr a••i nu tti ~ hl .t .G ~^J!'~V !~/(~tL,Cfv .,~0 t
uwarut uN/'~? • co«tt e•
/t•nrr to rra _ • ~ ~!A I
?aw uatE f.n t i ~ .,.t f ~ r-
~Att tl Oltttf fgNMICANt CONOttIdQ- co•rwtrert «rMrrlw ro Naw tvt rro• ttt•na ro uNt awtr rr raa . rrr AVtO?St 1I rES rnt pJrerrot ctr.
111( W ref Yatata rr Mtnrrrrr0 t•vM
M at••w
T~...1~~i~i~
i~ ~ t.. No Na
NOrKr6Er O. 1r~tfiMMA~_ t ra+n- r•, •t•tt NOw IN1Utlt OCCV.aEO • tr.t• wnr.t w w,v .r r•sr . w rt. r~'
ttwt M M M Eal
1N1i1Rt • •t turf, ra . tntft• ••no/•• tOCAt1OIJ r trtt. of . r . ro . trw of rorr, tt•n •
1 pftr•• Mt rt01 OMrtf tttN , tlt t t•Kr• r
~ ~
tRtlfKAtgN- rvrrr M+ nd rtrrr wr •t•• •ra utr s•r r.~rrtt •tr.t or r trios. r.p 1rr rrt eE•M occente nrf •t.u. o" rrrl
reub M• •tY ta1• •rrt N••Ir r r ern, •rra- q M N!r
tltfrt:MrNa trt z~7178 /0 r1 ¦rrorateu. arc
tlt Nt1•Ma for U (EI! a/~9~8_ ~l• Z~ 7 70 11/ L7L(L Ep ~ Di ~~r'f-"~ M t•rynr tr•4e_ ~
CEfTEJKAiION-i+iEDKAI EtAW-t/ O tw rri
f.a•s or wr .ov trr• ~NM r.•t horovrct0 N•tr
t••ar••tvr tM tr! b1 •ra lef rr1 r••ftr0 •rpr- w w yrrer- ~ rprtr w• •t•• •ro-i•
N•••r Otta•Na Or trr! are •rra aM r0 rrn t•rNAr 1t•na f M ~
]/r,N f / Nut •er~ bA7[ ••o••
x----
"~'l'~: ' ~ n;.P.tt:e"~•~lat t ~3~ trw tr M~•+ ....t
/YlIAI, C~EffAtlOtf- ~tMpvAl tEf• CN C/EMAtCN•-NAME lOC•t10N t••• t+• rorr u.n -
~tMtrtr
tt. _B_urial• ,„Hillcrest Memorial Cards. Fort Piero Florida
t/A~ wr - i-V ~aAl HOME--NAME / ~rSS srlrrr o• o a. rn ~ " .
Feb. 19'l~ „•~tahee Ft~nera~ I .Inc. PO Hox Ft~. `fierce f Florida 33450
v.S. #812 tuiiiti _.a~yGN~ilif
, nGls A. S}~.N. nMI eu( .tttrrfe t? ttxq ftGrf(w,
Rav. the RE - 71_ -t.c~ iN Y- lt,~ccat_c' „~,n. Eu Fchruary 23, 1978
1 hereby O~riify thf~ t0 I>~ ~ ?ftlB ~rtd Correct copy of the Eoce
Registrar's record oft fllo It+ fho it. lrrcio County Nealth [)epart
men( N FoTi Piotc~, Florida. -
(IMarnlrpt Not ra11d nrnlwa raiwd s»~I of tlt~ St. lotto ' - '
County 11Balth Wp+tlEtt.m itt taffi,tod.) -
N. D. MIItER, M. D. •
CttwrTty Mylth Offices i foul Re~gtst.ar -
otna ONttly tool Ibotn?«
,
~::`~x319 Pa~E1~~2