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HomeMy WebLinkAbout0860 t _ - - ~ - _M ~ fTATlOiMARYlANO _ ' ~ ~ !a 4'1628 ol~iuTrrtl,it a iIEAITN ANO MINTAt HYGIENE ' ~ ~ , ~ ~ ~ ~ aca1RAR MEDKAI EXAMINER'S GERTIfICATE Oi DEATH fEa No " ci ~ ~ ~ IhNO,N.AI doso h Roddy a Esll 11 %S 75 I.2'i T • DlAIN MAIlD O } ~ ~ ~M N. hr l•• ' l•N•1 ~ / INIINf 7~ T1 OAt! !O ~ , r ~ ~ N W S 13 191 ~i rRS aAO 11 291?5 ;~~,9 w ~ /..MIHrIACE l~~•Mw N rvNA OUNIm 1 Tr 0i0EA1M ~ w I , ..,cn MNRtO 0[NevEEMMIIto ? °~on~u. U.S.A.. woowEO O onoRCEO o Princes Go~:o/;e ~ o"hi7 ~ N u Cnr a TowN o! oEAT 11 NAME a NosrllAl. NUfsfuG NOME. q OINER MSTIwT10N Ih uwAl CWAI I,r1 v oo,. In r WSfcES yy[r1•C.n fAU•OON N7. •ipllq MlpsMplNl C1R fvouSTRr •~l ~ ~ ! Chovorly _ "`fir ~ nce .fi"eo.•Cc: ~Yosp ~ N ~ H u Al SIDENCEI•••wlswwraol~ec.etMOKOMNfOf?[,NlpN.orsso.. , `5,~ - ~ - ~f ~ 1 Ib STATE 1!id. IT• cC!<lNIX • ~'t{i~. li~.ll ~'s~jcn ~ O 1>< s~O~V rnum St. ~ ` ( ~ ~ ~ N. FATNERyINAME I~ l•til 1 T ,il MAbEN NAME • rmt utt ~ G- ~'=a v~ IMwASDECE OE~ERfvu.SARMEDlORCESt IERSOCW CuRrtrNO. 9 Orse } ~ l.l. os~ 1~~1Y11ZIp~"~ 215-2G-2353 idrs.Adeline A.Roddy- above address , ~ IL CAUSE Of DEATH IE.N+ e.lp aw. cwn /M W !p I.L IdL.ed IcLI ••r.ar•" ~ ~ ~ ~ARTIDEATNWASCAUSEOTIr: NMI..Ow•n••OU•rw o, ! I,r„~o„I~c,~~, scherlic heart diseaso .r • . • u• H ! ~I ~ 3 ouE TO. a As A CoNSEOUENCE Oi y ! C«~O+all. a ..f..clrcll 6z x1 how rip N rwdn,f 1~? . • n r ~ O ht1 ~ cww NI Ms,..~ IIw .r Mr- pUE TO Of AS A CONSEQUENCE Of J M ~ = I,wf cwnc 1eu- t; ~ - u~ ~ n ~ ~ ! • r wT! swrlcw cRrlnlEft n.n~u~c NMUr EN ul lluu~ a at aRlrr astn! EE cwalEf wlR~ ?w 1..~ / ' a r ~ ~ t1?110N IK CONOIIION FOR MMKN O/ERATM')N WAS /EflOfMEOt M AIITpSrt ~ = ~ ' :-~~~,-sf'w~te ltert~ir of fracture of loft tibia ,~s p /,,off 0 ~,1!;y dMM N6hMM~M/M.W N?YI~p/Y1h • N ^ ~ ~ ~ ~ - ' Ali ~ "~"T"~r FoIDl out or trv• in front yard or harp. r _ ~ .:g • w~aa o ~ ..~~r - -a •wNu;-~ "r"'~°o~ t~l 71,d~"`lartlu]I't St. Yer hi31`R".' .G. 1•:d:' • . ~ -r x _ , hJ O ~ + , ~ ~ ! talfil~lf « ! IMk tMr«.! w tl.... l~.w « Aw~.p D. w.d« ©G I~y:rr lam. i. rr •rwi~ ® ) sue. Q Na.K:.. . ILdcw..w/.eria 0• ti j•;,.. - ~ DATE 11-2 ~ t AI.O. ~ MEO1cAC E><AMRCE! SRi,IED 9-?5 ti C' 'b -i'' ~ ~s wwE 1Z' .0 rE) • . . ~ 1 V 4 E) ~ r . • :.r .r ~ ITT ~ trrtoR T? ~ ADDfrtti • ~ Ibf11f CflMAllUN~IMOV lJ1 DAI Ill NAMI (JI (1M111R. TJM CRIMAtt,fr i1li6l Alf,)N `o ~ ~ Burial 12 3/10?v F't.Li ncoln Cori. j ~ro'n"'~ciood ir. ,no. ,.d. 1 ~ ~b° ' H ~ orlEa Inc. tdt.3ri niAr, T oArEREC•o.srRECIST EiT slc M ~ OTC 0 197 Reference: Lot numbered -5-, Block numbered -131-, Unit numbered -10-, Lakewood Park, St. Lucie County, Florida, as per Plat on file in Plat Book 11, Page 29, A,B,C,D of the Public Records of St. Lucie County, Florida. i ~ ~ Prepared by and Return to: JOSEPH F. KEELEY, Attorney 240 West Palmetto Park Road 13';0 JAS -7 !W ~ ~;7 Boca Raton, Florida 33432 FlLEO /lllC FECOWiED 5T.111C1E COIMTxFII~. ftOGEit PolTRAS 0.ERK ClltgllT C T ercc~~ s•~ rr 4'71628 • 6~ OK 323 PAGE 86O