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HomeMy WebLinkAbout2836 T STATE OF FLORIDA 4~i~~~~ _ ~ / . DEPARTMENT OF Health & Rehabilitative Services DISTRICT ELEVEN DADS COUNTY DEPARTMENT OF _ 1330 N.W, lath ST. PUBLiC HEALTH MIAMI, FLORIDA 33125 = HER>®lt CiRi'IF'Y THIS TO HS A TRUE COPY (Y~ THE LOCAL R'®GISTRAR' S RECORD !F S I)BATH . R iiAli~IiC.z A Not ve~id unless the raised L seal o! the Bureau of Vital Statisticp is affixed. Pq'1R RDGIS VITAL RECORC16 UNIT s""`'"°i'Y ~ CERTIFICATE Of DEATH - at...r..t.t tl..h~..~ WrEt1l.tEw L>..t.. r~~+ J ' FLORIDA :IXa.atT.7~12Vr~V ; Ot;fJE•.*-•u"! /~iSi "..'7frt! i•ST :i D[•EN. Yr. A.. 1•I ,i .`~.r:iy.., i C:'_.ARLr; ~RII~`A:; r ~ VALE F~_~l_19T4 t•CE -+O. M-.. bx. •,^•t-b\•s•ww. ~ ..D(1 •E•t t,•Lft l D•. G't Ot tt•w Y . t• [i •'w _ j j -G~ute~•M ~ --13~ - ~60 ~ •e ~3 ~ D..~ ~ n ~ ~ May 22, 1918; DkDE _ _ CIT.. iQwr• W It{•r;0^. Cr Df Nl7illr•: C)• O'NFf IYSif F~r'{iti-J•.e-. r!• .•.•r r i K:•Y ~i •.QT .l..e<w DO. ~ - } ~~I YE__T:.'~ANS ADI` NISTFATI4x_~DICAL CENT ? IHPATIEHT l ST•T[ O/ MiTN l,I .w C••..1•`. M-•.• • -'~,l.rt? "•tt.lD. `iEVE¦ tMtf1FD, S:.f.'.~•.i Y~~/5! Ill ..I•. I...,.. C t. t • w IDCfwED. pvOKED . tnc.rv _ 1 ,~:!..:-,~-t Illinois .LISA E= Married T~ Helen Claire Ei40V~ - ~ S1Y r•~ S!:w.'. >a.'"Dtt VSC•' C1(.:f •„O•• /C.•. f.+• M..•f . . y • , Qi •,ESS Ct ^_Ft• ,f~ _ - , .....r • ',f •W E.•r w ~ ~ .3 ~ ~~~E 324 14-7317 !>o Pa_int~ex -Carpenter ~ ~ Construction - - - - ~ ' i t[LCV+Ct--S,art . ~ T. O.~.~r ~-.re ..^w•• Ot :r.Y.?nON 'a!, .w vl.rftt .v[+! On uwrs •y.,,1, r.. • lorida I~ St. Lucie Fo i.T1•[t-rwYE f:Kr V :•plf 1•$r V-: y• ~ i Kr ".!'.J:! _ l•3• • TS t J. Brinlat>3n r, - V••Ot"/1YT--f:•M! ILL •..rf. •pp!t. .-pn~ : L r• G, uiYYY 9•,[ ('t Helen erin}arn-in ,>s 716 Zlexas Court F r t..'t1•I. CtE•UTIO`: tEM='r •l. Q'Mit "E Y••Etr pt I/F "••Otr. I.-:'f _ p: ':.w•. i••.! t~ern3tion Fort Pierce Cxematoriim Fart Pi~exce, >'~rida-- • °"!"O'-`•°"' Yates Funeral Home,Inc. P.O. Box 777 Fort Pierce l°° ? ide - ~ Florida 33450 .y .-M LAF?RY JACC~~. ^~t.~D. ` I ~ - y ri, r r.3 11, i~7`; 30F' 11I . s I V ~ . " r ..,I! ~ .i . yf,. . f • . • ~'FTEF =.1~:' AU~'I*iI.-~^.:R/'.':IO:i P/.EI)IC/':.:E CBiTF.R LARRY JACO&r !•t . D • i =:71 1 ~ ~ ~ '''r• ti`jL~:•Q, F .nB `DA 33125 - i.: . - - - - - t - • '.V"f i:•rl •,Sf ,I\TI• ••\!1 •I\I • t'.I III l~\1 I ~I ~ . I~•...•r t~•.,w-s•r• Y.• vr~ . •,•tT ire ` - - cARnIO~IMOr:ARY A~.~ESm 4~~5'32'7 .~~F - Wt TC. 0. :9 • CEY$!OU[•-Q 0.--- - - '~i9 i'~J~~ -8 A.! I ~ =~2 r....,,-..•~_„b; Ml _ ~~N TUMOR / ~.lt fi - - r~ t ~ T R i ~ ; - - *~y' :vt ro of •s • ce:sExl•~e t~ ~ fILEC Rkt1 Ff';•~E:11tJ ~ ••'•••at»•...+w»•.•+~,..s ~ kl ST.LUCIE COJNTY.FI A. i ~RDGER PDIT AS ~ f•tt .r•*!t '.Ea.uUnr ....1 e. .oi.~••.. ..,•c a oai wr•c-•tt is F(ItfD 10 •rlO C.E f, n rt.~~L•£RK CIRCUIT it.." ' •?•etcW.. • •:.E•^ Sv~CDf ~ iD•v ••i .._t• r . t/« E. •a _ a',t• 'rr-, i t:.. w a. ti-.. .,ICE? ~.f• w'.,II ? 1•• ~ c.•' • iri. Jl r- b-+ ~ l .Nr• t liff t D ? •v •IMM•r lI•T( • - - ~ . a 1 . 1111 0~~~~ ' ~ annr naeC