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HomeMy WebLinkAbout2138 X64900 ' J « t CERTIFICATE OF DEATH iIEE _ _ . e...E...E.+ E4011? a1d it1lfMMnlFtf s.tv.t« ~..,....LM. F~oR~oa EOUE.IE.~D Asa M MIM DKEDF•IT_~a1E Ills/ WDOIE IASf SE[ DATE O~ : t+'.. a' , f•. i 1" OLIVE WILDE VAN SEGGERN . _ 7 Female _ ~Sept.13, 29 ; 9 f- ItX EACE-~ f . VyA.,., p.d, AGE-lW ?.•/dst ItQFf 1 Y_i.[_ _ Ut.Df1 1 Mr D11FE Of 4fIM lY.. p.,. r..l CQ+'!aTr Or DEA /N A+. IMM at IISa...hl !?n.I yDE--~- WrS EgUfi-1~ Wt1S r,~n2 a White 83 ~ k ; pril 3,189 St. _Lucie oTV, TJw/a Of touTlav of DE~t.t _ _ t++w. I.antuTlo?a-?ae.~.lt _ nCY - ? / w w ..ra.., Eu. r..« rd ..J..I ~ I t 1 / Ft. Pierce 7tLawnwo_od Medical Center _ ~d _ _1__ -DOA _ Suil Or 4EM FFF .r. r CIT1jfN Oa W1MT C~{INt[I taAtfllO. NEYE¦ WfEI{D. SFJEYIYVaC S/OtISE !11 r.b. M• ..AJ.. w.l E' ~ t., «.ar+.f w~JOWED. OEYCKEO r y.t.hl •I t[StDiwCE f -_N~_~7 _U.S. ~ _ ~~-,_Married_,~.__ ~~_-Ray Frederick Van. Secjde z'n a [CEAStD - - ,t DIATII son/l staE;n watlit uE,:•' ExalEAiwv /c ....a./.... a... 6.w [IVO O/ EUS~•.F SS Of ',IDI,;'ty itEO IH 0... I;IVE ...r M ...a.y Llr, n...l ..b..•/1 jE .t+pE E7___ 13_fi-.12-3 S4B ~b Housewife .fin Home.-- EFS'DF`.~ f-STATE CDU`.tr Utr, TcYYV Of IOUTIOta tfFET ?•A NUMI([ Y " Dr. 'b tae t4. lad t• r .a-.,E• •:AY~E HEST YlpptE t"St YOtatf.-atA 1DfN W1ME FifsF V~7JIF t, G ore Howard Wilde Bertha 'SIC+whr _~ytE tE. r. «A.uE w.~uaG wDDEESS STEEET Ot f EA •+O CI>ti Of TONS. - ~ - Ih9309 Indian R' F1 a _ a:.: uE+•...~cv. tF..eYAE. oT»EE,si•..,.! CEMtTEYf OE t[FwrG!tr-far[ EOGnOt: o•. o. ' 3 3 4 50 St. Lu ie Co. ~!°-___Burial ~b_The Palms. Cemetery_~_ ~~n]LQnaF -F~a. r;; .E U: D~EECTCE-. f f- - ?utiFtal //OetE r , ~ Ite Johns F , 'e +v • 9/ .ti •ro~t«.p. M•w .tc....M p{II~ .'y' v o.~ 71o U.. My tn\ \ et ..r.•~ro•ew >M s• • ~ _ ~ Xf .fT 'w b '•!.'~YM!1) b.. • / • / °f:....M O..~1 ,.'.V. d°Y °.,1 O'Y. ~ ju .M F~:.. t aLC ~ _ ra.t.r.....a r..t.f R tc. _ - a... • • of DiArl/ ~ oari slw.io [al.. a... E..? now ct DEATH j= nArE A7Tf\AI! AN Tf OMf TIIAp CpTF1ER It.t. w fw.l) f = ?fONOUNC[D DfaD fY.. D... E. / M•3•C- :!ED D(+D . 1 y ? ~ . ~ 70n 71 d. ON 7f. VYE Ati0 A'~CalSS Of CEa-.ttif IHEVSK~a.f. MFDKaE i~AAI~•.It) +?.A. «?..rl ? - ~-V - < • ~ - _ iEG S':AE DATE tECFrvtD Ev t[ e,'a> , K,, . . A•.r - . _ . ~ . - _ _ _ _ _ ~ wi.tYf -a MM»'ATE - - - t1\7?l Utt O\a v IF'Sf I?R //\??Ol I t\O l.. 1 - _ - - ~ - ~ _ _ { 1•y •i E.. s t~..NG _ ~_i a T.•.5: ...1 I ' / 1 rlr - . .a b.~ p -.lt. . l - - ' - ,c _c ~ . Y- , %_c :t ..!Ua. i_ [S~a .E •qN s.,::.: C{.~.: c~ _ n - - = ~~.t!. _ . Hereby csrtFty thn to be a true artd oo?nct copy of the loco' C „~c E ,.1~ f. `'C' Registrar's record on file in the St. Lucie County Heetth De{~art- . _ . rnent at Fnr• Q erce. Florida. (Warn•rg. l:ot valid unless rased reel of the St. lucle _ Y~pllO -County Hea"h Depar>menr is atf:xed.) • Jvv r-. N. D. MILLER, M. D. ~ t ' County Nealth Officer b iocri Registra' j,. ;rte ' •Y• rrrl Do't'e Deouty local Rea'c/rflr ~ / • pei aoMS TE~`e~ / ~ Sax b2 Noi,~ds g345~ n / d';~iF319 PAGE ~g~seo