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•A•t•t•/ • STATE COUNTY
St. Lucie 66-02 _ Florida '
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IN p•?- ! CITY. TOI•N.01 fOCA11011 r K IIAC[ Ot OtATN t. Clri. TONN.OR IOtATgN t. K R[SIOfNtI
••a•wl IItS10E EITY IIMITSI INSIDE CITY EIrIT31 i
r„•. Ft. Pierce Yfa~) NotJ Ft Pie YES® NDO
NAPE Or 1!/ wM to Mt~•t. /M tbet! •//re•t) • EENGTN OI STREET A0011[SS ON A rARN/
T~T~ Ft. Pierce Hent._Hos 1 Y(rs 1 S 2 th,_ S PESO +1
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7 lu?rl[ N I1rM M1Yt L•N t DATE //wtt Dq 1 i•r
; an Alma (!!Ollie) Loretta Swans ~T" Ma 20 1960
S SEx ~ GOfAR OR RACE MARNfD O N[YER MAMI[O DMTE Oi MRTN ! ACE l/a Nat t IIIIOfR I YW MIOER N NR.
! NrH/tp) X..W D.w Mww Afi..
. ~ t • F li ffoD.Enp olvoRCfo Au 2 1901!
pl•f.lp IOt uSUALOCCIMATION(tJitrW/aJwlMt IM.r111pOItWS11ESSORR101KTRY 11. MRTNKACEIST•ttapnywtwwr?p t! crtuuanMrooU+nl.r
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.....t waitress coffee Sho Paoli Penns lvania U.S.A.
11 •tk 1wt 1~- rATNER S RAMS It MOTHER-S MAVEN NAME
t~p..rst•r James Hitchell Emma K le
Is ¦AS oECEASEO EVER w Y-sARMEO,oRtES? K. soc1AE sEtuRlTr Na 17. R ~~TU~a G.N.Sxartz
I rr. r. r a.triral 111.x- t... -r r r~ r ~~W
No -0 -2 ~+r 12 S. 2 th. fit. Ft.Yierce Fla.
hw•ra1 a gtltt ft1 ftATM tiLhr •wy •a otwtt,+p sap. p), (A1. (rl.) INTERYAE •ETME[N
Itr•st•r ?ARiI OEATNrASCAI/SEORTe ONSETANpOEATN
.N.i r,l. wrtolATE ealesE (ciarcinomato~is 1_.Yr.
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t,r,e•t• r7nl/i?Ita.,l/.a,, oaTO(sl- Primary Cat'Cinoma Of r8C1llDl -
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•r e•t•r• ~ ~ 1 jm o[Sgla Ilolr NuuRr otcuRRED (F.ala ¦rrrr N+AI¦+I IN Pan 1 a Pal Il •/Urw M
••tIw[ tw, ~ ACCt111Ni SWCIOE NOMICNIE
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~ - ~ j0/ NuuRY OCIURREO jfe. ILACE OF MIRMY (t. iN r •f••t Mrr, >D/ C(TY. TOMM. OR LOCATION COUNTY STAT[
MNNL Ai Q NOT NNIE Q /r M• MMI. rhM,•~r t1/I., dl.) -
r011N Ai ItORR - - -
21 j attandsd tAr doaa•ar/ u. ~-8-n•~-~ to •nd l..t tAr A.aei •/i.• on
DwtA occ.Irral at 32 •~V A • a •n tM d•N tt•t.d •Aw.; and to tM b.tt o/ m~ Arwe.bdN. lro.n tA. uuN. tt•t.d
A11 f t•w• ~ wtMMTt1~[ ~OM?K a »t ADDRESS 7?l. DATE SN:N[O
o:,pi.t.•a Alva L. Orr, H.U. Ft. tierce, Fla. 5-21-60
atewr•t•. ~ RIIIrAt-CNIY/~- ~ j~ MMEO/CEMtT[R?OIICREMATORY 21/ IOCATpNI(Yp,/ra•N.arr••l,l (S7•M)
~~i`a~`r"/'' _5-_23-60 _ ~'t-.~Yi~er_ce Cemetery Ft. Pierce (St._Lucie) Fla.
r, R./e1= jt WNERAI Ot~tCF011 S SIWTYtK~~-~ORtSi J1,. A jS OATE 11[CO- RY IOCAE REG aj. REGKTRAR~S SIGNATURE
R...,sss lailton W. Hairrl Ft.Pierce, Fla. 5-23-~ Anna Lee Denison, d. r.
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1 nereoy Ctrnty !hit b bA a true ~ Conrct Dopy Of ttte loci ~ . r ~ ~ ~ .
Repistre?'s record otl file In the Sf. liloi~ County Heahh [kpert.
Irlfnt et Fort Pifrq, f{OrldL - -
(INarnirlg• Not valid unless raised seat cf '4e ~t i xie . +
R Yealth art
County OeP ?nrlt is F;..ei.; - -
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- ~ N. O. MtLIER, M. D. _
County Hearth Offwtr d l~r..i flMistral ~ . - -
n 11 ,
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` ,C~, 4'7`7843
aPuty LOOS R~pisfr>tr
• t 190 MA? -3 AM ii•36
fi~ru }nc F: cu~u: u
S1.U1CfE CCbNiY.fIA.
pp~~R PG17RA5
- CLERK CIRCUfT COU 7
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