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HomeMy WebLinkAbout0696 t!t{t{ of ~Iortds CERTIFIC/1TE Of` DFl~7N •0{Mrtlntrnt of 11{dth u1d Reh•blHtsUte 8e?Nce. F L O A I D A t1ATt* ?It.t Ito - VITAL. t!'I•ATIB'Mt~l RrtllltMAt1 { ?+0 19S Mtn A _ . a. .wr• r•a ~SIt Iraq lM MatN .rl/rlr. n•!a TwE ~ t CIS 1.1:1: , FEtIAL.F• 1 MARCH 9~ 1970 • IKACK NIR MCt rfab •arlN[w wtpar, AO~-up wla . •1•• w•• • !a• 1 CAI/ tr/ (NM r.arrr !•r- CCIU?ttf p/ OIA1N In 1 (Mt W • MNMN r n•O r - ~t !oa MA.at .IM IN r NEGRO ~ _ • • - ~ - ~ ~j~lAttCti 27, lq,~y SA?NT U1CIE 6602 ~ w 72- - w w CIti.1 +t~fi i. ~ (6E>:Tidti~ OtiHi .++•w i+• 1«:n HOSIItAI CM OIW( HSIIIU~R)It - H.~i/ „~yf: a~w vtnl ,r .Ilwn 1 / wtr..n a .ro w FOF2T PIERCE r. YES L11'dttlll/y)D f1L'UICAi, CENTER {fA~~~~: rei !r : , w.o1 ~~tt~t C/ MM.1 CCIIRttft YAItM°. ?Ilvlr N.rtM° tu~vlvt?x: swwst .•n-~.n ::w: rs:r i------ .!.«NMMIt! • (3EOR 7A te~.tnl • Itip ~MnP~1~?1 t°•••••••• III D1,1r1:Y IrE'F: ..rpeMMa - - _ ,r.q • tttar f~cli iFC•Ibft MIIIilI VfVAI CKCIMAttplt~.arl wa m .c•. 1...• !ln.w r••w w nttl M ~l1aA+ltt M 1/~11St(1 t~a» tMl A M , 1.1 •..I/rtl.~ ,1 IJ!yAVJ?ZTABI.T; q, elr'1`I~tLrfl ttt - Nf{f•Iq _ - rtMrr•..r.q Snlp AItO MMrM~. . .•..r.a MiotMCt -l/AM FouitTi-- cm. luwn. o~ IIx.1K»+ M• •a /•t •/1 t.,>F'l~c>1tIIU1 ItrSA71'IT Ll1CIE IM FUn'1' t'll:n': r. ~ t..• 2,,('~l Avg P A 1~ - •Nt• aMU 1•p W /pya Y1~d•/ Ila~y ..•.r .rlrt up ~ . n NILLIE FAVORS „ CAitRTF. WAIal.IACC Y.II M/[: AIMd/SS r•r«Ir ra ! • • •r• Ir• rr• •r.rr, p•w- pr NRa DLldl;? Lk'I: :n 2'I~"-t • 1, . i'iNrc:r_ Fln. - 1 - Atl 1 {lA1N MA! CAtIMO MNt11 OMt tY1f l al/t/ M! t.M It/a Ml t~l alp I•M «I.Itr •MN• aw! Mar. r-__-_ L.S _ _ - r..tw.n tau • ~ Q1i, aM`wli r/•n.A •wl1~ nIN talN up hl - S k~_-- `~~..trQ-w . IAtl ot1e~-- ICA/t1 tOMMM•vt •n Maw •rr rer Nr•q! rp uw• •.••w ••n . ~AtgOrSt M rl r•n w.a •nr ~ N .rlr NNn! M Mw ~ t•.M e1 - t>fjr>wr ii.~w~l.:, n.i: iaiui IN•w 1«w/!• ttt r uauh • ••••~r "••r•« ../...w. w •.n ~ n~ •.w w• .f. t { r ~ s - ~ ~ - ~ - - - •t fwN/• ••tta!•, tOCallplt . t•«p r•! • r r•r• n. rnrr. N•w • /MNr•t Nf~y/ owat! ttN.IR Iltttrn/ t ~ ~ ~ (~prICA1b11-- .OR¦ M~ Nu .prr •rr VP N. wrr,• •V•/ trr r !.l/M .rtN •n~ /rr/ MUw OCtWN{~•1 +q •wL rr .w {MtlltlaN• ~ norr wN • .Ow ••w• M•r rrcorrar ri~•w. •r!- •r• r MN _ 10 C f • o• a.r•wl•e•. !ha IN MfM N rrOw - 11 ~ ~ ~ ~ 11~ ~ / ~ • 11. ~ t ~ 11( ~ a ~Q~ /tr; f ~Y M 10 r! .NYr4 a••w! t:l?tiiGftiiN-IiygCit iii~s M `t/~a~f~ tM• •M Mf•t M 1r roM rM M.•r r••/ Mr •Mrt ..t :«?+.r.ci! i•.-i _ ttaawwF• O .u1 tfN a•ra/tM /rr a••Ipraa•ItIN, r w tMwrO•. rrr•M N•! rN• MIf•.r tKttraaM a rl aatt W M M Irll ta111w1 tr•rt• Cflt~~- mN7- - - M:N.111!% t``\ ~'~/'~/1J w - !•111 ra/ O.h ~b rr.r•rr i. •S/•i. _ ~ n 1N1 SS-CJ 1"' _1 ~Y lam. 'f:. ~ ~ ~ _ CMgA . ~rltlpYAl C AYIIg1 •taaq Iurt.tuM1 m r•..• srlw 1 fwcw 1 la, BURIAL. >M PUNT PIG•2.'~: t'c:-3•:1-~: r ' ~II• iT. 1'11:ItC1' 1'1.A - - - ~ft__._.-. ,.Owlr, M•. w.al l1At MOYr-. Naaa/ u/h •IM.lI 51 a.••n ~ rr•. n• rn.r v•n, 1~. w [~!fi . e7 Ir II~..I.~IU!ll.ir..l.c:fl 1~'1!: _U^l.i. ' i('_F Ft.A g615 rM 'a~.ur+l ' lr o•w p(Ir•tlr IdIM NGN?!•! vs. Asti iwrw ow a _ ! _ L.~Mar~h 22 . 1978 IIN.1/1K _ •I__ l-' ~ ~ / ~ k'---sir ti.L . - --~~r2Q? 1 ~«~.by oe~RY thb to De .true and aor?ect SPY ~ tt~e trove 1980 FE6 26 ~ II= 46 . Regbtrers record on flle in the St. Lucie County Health Depart- ment at fort Piercer florlda• ~ FLIED ANO ft:C~JisuFO ST.LUCIE COUNTY.FlA. (blaming: Not valid-unless raised seal of the St. lucre RO&ER POtTRkS ijealth Departmewt is affixida-. CLEP•K CIRCUIT COUR R=~.9RA t'Ekti iE~_~~.~ N. D. MILLER, M. D. • - County Health Officer 6 local Rpistrr - D~ - Local Rpiatrer - • - . • - - ,