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HomeMy WebLinkAbout2572 : r f f ~ CERTIFICATE OF DEATH ur. Jtu fp._ t?y«f.../ as W.w........WM..» f.1.lw. tl!ta f.a!a1C• FLORIDA SOCAI nu lto. 690 rrN rA[IWt.t !.a Y1 11K1 Ywa! IAS1 11t 1~•;1 ••.1:. 11~ n.. 1~ r,f nnn nfrAwrr i. James_ _ _ Miller Mcl~allister 7 Male ~ Dec a 2, 1979 f••'r H<1 W..• ftwi, Kd- laa ?••1•Iq VJaf i h•f U1Dff 1 pAT DAII p MEIN/r.,0... ! (l)V/li O/ M•IN a.. ...1'w. 11 ~r•"1i1 rr'•r trwli 1 M?S N¦tK 1 rtAb . 6cJn2 ~ White 5.. 78 _ (1. _ _ 1 I k I. Oct.26,1901 St. Lucie ?!Ir lpiln/ p lOta/!ON p aAtN IlpylrAl Of 411111 a411tUI1pN 1L,~ IU r w •r4q aw r.•n ••I rw.1 ~ u w rY ~ ~ ,•At , n Fbrt Pierce _ _ r< II>a~wrnauod Medical Center _ I Impatient Sutl W f+)M//r w n (IIIIINp tMNI rCtla/rfi MANII O, NVI¦ IIIAff110, ISIIfYlltltlf, SIQJi! 111 ••b. eoe•I _ 1• \ ..e.<.r1 WIOOIr10, aVOfftD 1.\m.hl • • ~p Idlrl fiYW•<CI • VlY~jlmld ~J~7[~ IO.,~yyQ•( tl. ~Y' WNeff WCt a:ID _ - _ _ _ _ _ IIV10 11 rA•tN 10(Ia1 SlCIM,1•N11•Iflf USIYI O[CrAAtICf1 /G•w WM•r. M•rnef ~flrQpfvi'NIss Of INpJStf• 1!Gi:Ip,.I,. f.,Yl 17 236-05-4455 IbL_inotype Mac3zinist_ _ ~ N~wS fILW>!1 ll •Off rfVlrl•K[ ST.It COI/ali Clfi, !O!M) Of lIXAiION Ififr Atp NUWef • ~ C `r• . Ir•.. I.eFlorida St. Lucie ,kFbrt Pleroe taA 601 Seaway Drive Yes • /•tM(1-~.?rE~ nest twat Iwtt Dltf--r•10fN N•rt NKr r•wlf us' 11 (riarLes H. MCIGallist~er Annie Stull .•.rOf MAr:l •:/WE rrr,• ••..<I II/NG ADDffss stf[er Of e r o No. urT of +owti s'••1 ~ • /7.Birdi,e McKallister t>.601 Drive, Fort Pier+oe Florida 3 4 6.f,a1. rr111A r!p.:, )IrCWAI, O/N[f •Sm•M1! Clrtrefr l1t (f[rAiOft- fMYF lOUlllpfl (!tr p) '.:w•. . 1••Cretnation tf.Fbrt Pierce C~ertatoriun 1~ Fiort Pierce, Florida 1,.-.Iw p..Ifrd 1..).•d.l twfu Npr[ 'f° ~ t~Yates FIUIE',r = I - •I.e a N ••Ir ? 4•. draM •ra •M ry 1~ awl 7/a. 0. M• !.w•• e1 w1 'r r - _ a b • w1 ~ ~ M .1 / ~ j e«.,•rRI a• M •-+•e <b•• ant ek.e +wr •fw r'4 ...r • ~ ' e , jr'_) L IA•rr•.•• a.) r.,r.:,l < `~L- / ~ s ~ Is)..... ~ r.w., - palf LJ+I D, r..• fa•. t.. V" r - ~ p a•rN _ ~ ~ OAIf LGNtD /Y.. 4.. - K.W Cs p: •rw 3~ •.•rr d1 •rrl..p,.a ?NS!n.r~i Ir ~Mlf rwtti curnltf /r.r/- rr.r ~ s n nalou!.uo ot.o <r.. n... f. / •n,-s_•~: 1 , of . C .i 7a _ r.. IYI 7r. Ar ~ S a•rf •u0 •I1WIlip ClfltUlef IPNTSKIAN, rtDlUlt Ea~rIN[p / rf)• l.w..r - - - - - - - - - i 1J i ~ Irws!uf ~ 1 ' art rfctl!!lo fr a-,!S!.•t rr•. n... 1• k I ~ i 7)a ~ L° i'i ~j~ n. December 7, 1979 . dY1. C. r.vff i• !rrED!•IF UUSf 1)\1[1 Oqr O\L [)4![ I!t U\! Of//I••. La. Hl lrll I ! ~ni r ~ r/ui !e! ` , ~ ' - t ~ c• l~ f ~ t - . • ~ i [ l' ( 1 ~ ~ 1 / • - {.1 [M.1 CH •t • Cd3tO1/FNCt p_ V _ - _ _ - - _ _ - ; ~ r ~ • .•lfJ tail .w ! f!I~ (-•,"w."iL``~Cil t. r ~A_',•~tLr~~,._~,'sCa~<<1, ~~lajC)?" ~J. ~r J» DW rn r]f •t . CO.4IOUINC! p ~ 1 • }4} ~ - 1 4 IAfi O!wf•". •f1.'/;f1r,/CtYA)I I10•)1 r•M•.wtrw.?.•~•r?r•.YV••?.r rV•n4sR)r[ew f•ww.w /•fi 111 AUrp•ST /,••••1• yrat<•Cf ),•i1)1'. Ylr. iii 11 _ _ • .-1 . If.a M~•.1)'1....~. n L3C i..' . V ..<Nl•1 •'r ;C1rt• vDf•W er WI! d tNAlfr /r. • 1••. t•• IQ11f p W/Uft ~ DFxf!f1 NGA! !N IIJfr OCCINffD c pyj ].+r 7r. 7H Y 7/A MSIeM ;••PJr• •I 'AFI• I •r...r. i•• rl•CT p iN.91fT._A. i•••w•..e.w, Io..•'?. aMa• 1.r N.'/. lQC/t 110N Sif[fl 01 f ! O `.e t.!rI Ca '.^.A•, tI.{F lele ...\.r I~lr./ri Ie...,~V1f.!71 Jd ~ 711 7If p' F LEO AMA r - _:r=0E0 of the w~.. LUCRE ~ . ~ /FLA. r>,rs~ oarttfy tAM to De a trw ena correct copy Fo ss Repf~trer't record tx+ flle In the St. Lucle County Heahh Oepan CLE?? t ~UR mer?t et Fort Pteroe, Florld+. RECO~-" r-: _ \ ~ err?i Not valid unless reined seal of the St. facie ~ Health Department is affixed.) _ '-oE~ 2 25 P~+ t } N. D. MILLER, M. D. _ trounty HNith Officer dt Loral Registrel Di1~ Oeouty La~ael boi•••~• ~ - ~c-3~ i ~ye~~q