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HomeMy WebLinkAbout1025 . ~s?~1~6i24 State ut Florida CERTIFICATE OF DEp i [kputTrleot of Health and Rehabilitative Services F L O A I D R trwTC Flit No _ ; vtT.\l. S'TAT1S"J'ICS AtGItT11Aq ! No 713 +Gt UN PAINT [IKE•SEO--NAftf resat ••tr ~SEt ~OArE Or OEATr. .e.r>« e•, .i.f IN JOF~1 _ _ . rENMANEtiT - V-'-- YOUNG--- '~'-'~~Q-----+' ~~lrII>~P~L~+..1478 ----1--^------- BLACKINK +ACE eun. r•t4fo •.tfM •p .wo.•«. •Gt .•ti ".or• • •u• ~..cfr r Oar _ Cw1E O? N1/N ..b.•w e••. ~CQV?~19 C)i pEl?7M f.c Wcr• • f.firO.. ..r•rf • '•.oi ~ ?--o::~ i-rouii • _ ..r• ' wu : Wh 1 to ,e 78 ~ fx +ir. Au 10 19 St 1 l 6b99 Fni.-TCy;fn~r. i»ioc:not+ - ~----`~---~~,j~----Q~--'-'___.__a_..IzYS O~ pi~tN •.r•it trn •wrn ?1OSMTAI Ot OTNEti NStITU NAME r .•pr t:rwf. 4 w arwt• •w ••wNr • 1Mlr• wf p rq , Fal-t Pierce No ~a 4004 Oleander Avet____ S/w1E CM ...M . r «Oi u s • , w.r CIT)IEN C1f YYNAt COUNitr MA/RIEO, NEVEt MAt4tlE0. 1StIRVIVNCi StOUSE ~ N ~ if o,~f r•.p.~ ..•rf . - cowie.r w10pwE0, WrOKEO.VKw. ru.• HtMKf ~ Hungary + U.S.A, to Married •It Glad Young .rc N•~•r SpCr•l StC'Itnt l4WtEt USUAI OCCUtATIpN .O••t awe o• wfa eo••r ore~..c wosr or ~ IKNJO or .UStNESS CM IIVOUSTtr - cc~f•re .orrrc arf. nf« r Howe • ""'"''s'• 073-09-7898 Mg1ot e 0 erator ib •~>~o.»~....o« rb ~as#.n~ Kodak--- - t[SWENCE-S?iit COUwtr Cltr.ipwN.OttOCAt10N -«.i~ecrrrrr•n STlEtT wND ?fu•3Ei - •rfa.. •fr w'ro. t.. Florida St. Lucie +«Fort Pt r Ib Q n tATNEt,_NArI aefi rypt uA MOTNEt--AtwQEN NAME •r»r r•eo•1 w• t~ John Youn ,6 CI mint' IWpWANi -NwAr/ AN<AILIWi~i A00lESS ••nfu o. • r o ••o . c:n o• •o•r«, tr•w, f•e~ •t,Mrs. Glad s Youn I~d10 4 Oleande Av Fo P 1 otwn/ wwS UustO.r (ENTrt pfftr pat CwuSt Kt Itulit fOt hl- 111. •No irN is - or a."'ii2wsi J~/ a_ r.ur o.wt •w rear I.t r~rr~ OSGI+A?OT~ ~ rLi~`l~ ~ilCt•K ,~J ter: cOtren/ors, rr •r•, •frr(r O•~r trsf q 111 sUhrO tq YMese~ eut p• W N • COryfgwr•cf p tnrtC t•vM uU Icl ?A~T fl OTNEt SIWfIrICwNi COlO1110NS corere0«f co++rfyrr•«G q et•iw Irf rOt Nu.fe r0 c•Yff 4Mr •.er r y AUtOE'Sr li rE1 .en .•....res cor- r•rf M rOr MMfNe rr Nrft~rrr+0 c•Mt rM tt•n _ i+. NO I ..~.~1.1 AC' i0ivi. iYr~r3i 0-T wT~~T- .rorrr, Y•, q•fr NOW IN1Nlr OCCU\tE0 'r••nr woes p rrwn .r .u• . w.•r• u, .nom .t. tpi0.u tbC-l-. Ot urOttttfrlNtO (sstf•M 70+ 1!rD 24r Y 2Ut INAItr AT wpall MACE CM wJU.v a ror. •u.. a•wa, r•ctor•, tOCAT10N . snai oe • r • ro . an M io.». sun • . rfvn ws a «o • or•r:f free . frc . t.fc.r•, 70e Id 7oC CERTiICwitDtf- •.o••rr e•• w.e corer e•. •r•f utr s.:r r..;.f. •?i•f or . eeior «or .N.r rrr Ot•M fXCUttto •i M rucr, o« M fMlssrClwrr: I rr M• w.e sOe• •rns N•er •wOUf • " bw. •r0, i0 •wf MY . •m«ere rrr ~MI; ~ +9~T Tp ~ ~ 28 ~ ~ : f~ a r• fr.o.freu. tNA ?r• ercf.Ne.eo» Izro --L~tc ~ 3 I1 r'd~~ re ~ ~ M ro r•w w:v.r• ft••re 1-'------------- CNTrIG11pN--••EDKAL E AwiwEf Ot Cp+ONER o.. rn f•a.+ ar rwr ..ow o• a•i« ~ ~ r»r efcrNri ..a .wrw.._~e a.o 1fur.•r•Or M H sOe• •rw/w cry rwfSrrc•rpr_ r« O•rrn0«_ I rOrrr e•• •t•r rOyf a•er occ..we a er o•w ..re ea b urr c•rtfis~ sumo • i Y t-NwME n o. i r, ~L_~ _ - SIGf~fwitttt efGrtr rn ~bAfiE SIGNED ~r0«M. w•, H•i. Bernard 'b. Foss, idD. ~ ~ ~.-~f _ , /r ?7e_ _ _ _ _ 2~ ~c ! Z_ s-~d- w? CEt i 4 trfru of a r:o ---"----im w q.r« - - `~r~rria sta B I vd . Fe•wr 6,? ~o Port Saint Lucie Florida uev ctn. Ilt? +Nt1Al, (f[fy11pN, +E•Ipvwl CE1tETEtr Ot Ctt/AATp+r-aAMI ?OCwT10N un a rp.r ~i.,f o?cvs rr•rc•r•: r x.. NeCremation :b Callaway. Crematory ____i~k_~,ak~_Wortha_ FIQI-ida_____ - DAtt •ro••..r, o••. •w. ,tUNEtwI NO•r[- raAMf •r~0 AODtESS srfrn u.t o w0 cm o• io~« ru". to .fib Decernb~ _ K6,i1978 __LNa i s le -Hobbs Funera i Hcune 1 0 P h~ P P' A 4 ~ ncl}T~•t--Src.+.ru.E t O•n 4cUrtD tr t«.r «GH•.,. no 76e y < < i tnh 2 7 1 78 Mr~by o•rtity 1'*M b !s• • ttu• end oomo copy of th• Lour - w.o~.rr.r'~ M~+!~ en hilt. in the St_ lute Cnl~nry FI•ahh Dro•A- ~ ~ ~ ?nt et fort Pierce, Florida. FILED Ar+' - ~ ' GED N ~ - (Warnirl9: Not valid unless reia•d ail Of 1!t• St. Lyd~ FG ; ~ ~ ~ S • - Caunty Health Deputm•nt is •ffix•d.) ~~c-: - _ :::i1R RECD;, . ,F~C , _ N. D. MILLER, AA. D. n pp ~ MM f. County Hexhh OffiG•t i Loin Rpiltrel~E~ io ~ ~ 0~ ~+PI f . is-~~- e ~ ~ - o.~. ~ ~ R.oI„+.M 4 ~ . - 1 ~x . a~3zz P~~.az4