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HomeMy WebLinkAbout1608 ,r • 4'7~TT74 ~ . 245U~T7 i - «.It.~«~ CERTtftCATE OF DEATH rlR...,.TI..1C. F 10 R I D A IOC/ll Iq. tIO S S ?rr1 a(laNt >a•YI IIKI W tN•NI YIODIt 1•St fl• ~•If RI (M.INeY M1. ) I. lI..YIII/t C~earc~e _ _ Iaeed .Male 1 Jan. 26, ~ X80 MK+w.r +KI tti?.., YrS. u# -trr M+Idgl tM01. t rt•t uo1+ l wr IY1tf d M+IM /Y., w..• (ote/:r W plwtN A- 1„es, rIt I I trHJ=I - I1.= / IIOt 1 OARS IlDlltS 1 YMQ 6602 73_ _ _ _ 1 ~ ,r. ~ Dec. 16,1906 St. hucie cu•. tOwa of l0C•tlp(d oe~ltt /O6IIw Ot onln I•saM10N q•.•r III M M M.H. •...N 1I IIPS? •v H.u .-..v r•,• _ _ _ _~(~1... t_ . Fbrt Pierce Lalwraaood Medical _Oe_nter 'a p(~ • ]ttii StAIld VtM /1/•rr CIfI,tN d RMNI COVNtlR MANI[O. MVt+ Y•+lKO. SIM111VIq( Sr'OI,St (H rW. I,rr rdn w•/ Ir • • . wloowto, avaclo /s,.../., !»,a anlol•rc! PA _ USA Io_~^rled ~tt Hazel FIc~tlCiTl - Wtl[btaclASto _ llv! N gA1N SIXI•t St(/t+ltR y/Yl!!t (/J(,A/ OC[SAAl1ON /I:rr tr1./.rI d,.r v.=r, ~tMD d M1LNlSS a I,~plpllr iJlGl+it(1 .I. w r1 .+••y AM. rH• ~ Hww/1 "°r'tY'I°" 174-07-5949 A _ ly Owr>ter - ~ DYgLOq hva•xt a?AT! tOWti un- ttIMM M lUlAtlgN tau •yD IAtrr+ 1•r,ty . Iw.••, t•-Florit~a t» St. Lucie t«. Fort Pierce - lu Rt. 1 Box 415 1•• I•M. H•ttI 1 1 YIOOIE WI _ tN+ I,AIOIH NAIII hKt WCD!! 1•ST - l3 (iFsa~ailable) - t.. ODrd Shaw r IO+YA*IT_HAYl,.,,.«..:,I, (,.Rt 1 BCUC 415t~llFbrt Pierce Flor da s•••! r. Hazel )cased •r+••l.tltgAtl0.1, +(YOlaI, OTIItf If/.r,/r, (lYltih Of (+11A•tptR yY! lUC•tION Cllr (H t(wNY s••rI t» Bur' _ _ t•Hillcrest Merorial Gardens F~prt Pierce, Florida I~ Nu! acx-/. ! ~ rUN1ut t11MN t.. ? ~ l»Yates t r ~ i 74. 4r•• .1" • dIM• -cMw•1 a M •.wr, Ally OM . ,la 0. dr.Mn rI r.w•+-•a•. 1.`~.••._ ^ ~ ~t"~` Mr oM ti =.+IrW Na•HI «u.wd a .Ur •.w..Iar s Isw.H..• r..l.r, j~ _ /4.........,.,.,~ - LAC _ o;;•• /r==_ t•.r ' wu. o~ a.nl-- ~ wrt sl~+to w... r.~ rww u' °lrDUND DEAD , ~ >o. _ _ _ >a _ Y - ,t. _ _1_-28_-_80_ ~ r~ _ 6:ou p Y s~ •ItV! p, •I/r.OII+G MrSXI•N 1/ O/M+ TN•N CI+1ii/(+ f /•M H M••el = ~ NOHCIVaClD DIM /Y., M•. ti.., /WtiOl,tiC10 DE•9 .M . - • ~ JO/ ,td (t•I l,w At ~ ~ ZV P _ 1=2G-~0 . I.•YI •ND •WnStd llttltll+fl11rS1(IAN, YIOKAI !t•Ywla /1•/. r+••YI - T: German Sanchez-Casis M. D. P.Or BOX 188 FT P +If.tlt+A+ A OA/l aC//YID 1/ l1l.+SI+Af .Y.• /4•. collolT•oJs /.~.......1~ Guts, , ~i`~E•C~;~L~Cl'C:, • .January 29, 19AQ u w•.• rrIWIG•.,t WYt01•f! U _ II\T/R O•I? O\, //t%V I!t UN IIIf b.. lp /•J( Id..r..•e iv.r=^.'+"'."'r,~• Wb! iM ~ I""'a CAI:DIOKESPIRATORY A#~51 t S(•tnw rnr - - - - - - t/O!+lrH~ ~ OYt t0. O+.?S • COr4lOU[IXE d. 1 Iw•r..al !r•..... rw• , r-•• ""R` ARTERIOSCLE1tOTIC iIEART DISEASE 1 1 1 ow lo. or • cora(owNc! w - - - - - ~ r~,..H..,.,.• ,..1 r w kt _ 1___ +Aa OrNI•:rC.•i'IN •MT CONplilob CrwN+wr.w•t.+gw..be••?..p •.I..wlbr..Y t•'••..•?•til~_ - - _ - - •iJtO/jr /,RM•Jr WSC.SI aITI+tD tO VIb••1 I - _ _ ~7S 1K/ h a~ 70 iLi J. ~ - _ _ p••lrNrl ACftplr/T, AK~OE v p/1/[ d t..pltr rM.., 0... I..l l/l11Jf d iwlttr OFSC+~.E IOW IMl11+r CICC/1+RFD IOrIC10E Ml?#i[.YiNEO It/'=.h/ NATiTRAL 1-2b-80 ,n b:0O PY >7• LYIIvG_ It: B_EDROOP! _ ~ t~S f.-SI,. I.:MrAr rrdt I• nKE d vtttltr . • ~.r. a..... tr.«r. .N.. w.l+.~v. tor•t10y S(a!i O. t i0-I+. Cnr O. tows. • I+N Ib- t ~vl~t. ,r. NO m HOME ff 1 twre~y anlty tnls to tx a tn,e ono correct Dopy of the ~ 19~U NAR -3 a~ 24 Rpiurer's record orl file the SI. llr_~e County Health Depart. y~••~~y tt»nt at Fort Peru= Florida. 4 j? ` flEEQ,~tC 4~LUr,::EU ST.LUClE C%:~4TY.FE~ filVarNrl~: Not valid unless raised seal of the St. t,~-ia R"Gfft PCITRAS CoVrtty lrsaMh Qepartmsnt is affixeda CEERI; CIFCL'IT CGURi D' FLCCtp VC:":~"'1:~~ - N ~ N. D. Mltl~, M. O ~ aD CQUrtry Heahh OHioer i tloaif AgMtnr ~ - _E~ s 1 ; N , - ~ ~ N locel Real nn ~ ` _ • _ e ~ Ll7 i, ~~tt~~ 4 BtNli(~71~..p P1d~ElE~~V O• LAUCiHLIN AND O LAUC3HLIN. ATTORNEYS AT LAW. FORT PIERCE, FLORIDA