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CERTIFICATE OF DEATH ~
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u1vES1oN os rFUTM FLORID A
flcofsrffAe•• No.
•flMAlNNT /NIE DEC[ASED-NAME rlfst r~eo/e u Y OAIE OEAM 1 corn, war, naf t
tt1 I111IOt00E fat
'"11tY"'°'s , T Male + 1.11
LACE rwn, rtofo .reftcar ttw.w, AGE-ufe tnteff 1 .e.f_ waef t •ar OATE Of •RTM utOMw, Kr, COUMr Of OEATN
eta . Mttrt - ftfrwar tteaeN fr» Mq KOIMf ftOf nwf 1
White 55 •k ~/Ma h '
t< , ~ t ~ C11Y iOJVN CIR tOCAiWN A1N wsw crr Ir/rf NOSMTAI OR O~IEt NST - Ir tfllt w atwf, oM ufen w Iltrrf0l
WCrr tH Of tIp
Vero Beach ,f cgs ~E. i ~ n _ _
STALE Of WM • r rOt w r s.w., tfar! CI11tBE O~NIIAT COU?{Ttr MAYO NEVER MARRIED, SUWNNG SPOUSE Ir true, OM ta•fMN N•r! t
(OMNer 1 , W1801NED, pIV'ORCEO 1 frettrr t
tt\aif«a. . F Lot ~ cia + U -S _ _ jw_ `IL }~elen May Rrowni ng
-,ut ~e•.aafo R!q Of MKMIESS Ot IfolnTRr
w•wt SOCIAL SECUtITY tIl1WER USUAL OCCU?ATION torte fw. p wOt¦ twNf OYf~NO rose W - _
r tfe{, •N t/OfffND a1M, MN r flttffO t
~ t: ~b7-its-_0682 IsC;rower _
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• RE SIDENCf SIAff COUNftt Cllr. TOVYft, OR IOCATWN ~ rytN tttr frog STREET AND - -
If/Krr ref W f10
,/f l• luricia 111 St .Lucie IMFort Pierce lu
f AI?IfR NAME Itat rwpt ust MOi11ER-MADEN NAME rrfr rteolt ..a
tt Lindsa Stead t/
IINORMANT --NAME HARING ADDRESS /fntn a R_LS. Ito. an w rotrN, a•s, Ir1
I). Mrs H fen Ma t d ua ~ . 3"34''t~)
f~~cn ;.am~vu-
SARI t DEATN wAS CAUSED sr, iEN?f. olAr oNE CAUSE IER lR•E FOR a~, p~, ANO tae
q - - - - ttf.ftou e - - - wr¦r~er owwl •r fe•tn
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~~i~w oiri iui"'id 131 . l ,'7
trreaae c.r,e w. ~ _ ~ ~lllt-
ft•rtr0 Iwt YrOH• t111f • Of ff • ON>t t a` / ~ _ _
arINO CnYtr t•ft
?wRi R OTHER SIGq/R;ANT CONDITIONS: eotOtwONf eo/rftsrnNO q Naa frr Nor flout. a utrfe olrer w Ian f IOf AUTasr / rE3 1reN nrNtfof eott-
Irtf a ftOt MNf!• w Ntlfrttrr0 Carts
p Ol•Ir
Iw No _
p.~M ~ t rafn, err, rtu t /1 ~ ~ -
ICt6t, at WO~rEIMIN[O NOW tN,URr OCCURtEO / fwlN Nwwnf pr N.Iytn w /ur . w I.n K. ra¦ tf.
fpOf~_I IM. Ma. Y. !Y
INIURT AT WORR MACE Of NARr •t note. r•fr, srfelt, Iacrofr, tOCAT10N 1 seen Of fa.w. tq., an 01 rotrw, safe t
• srrc... of a NOf OMfaf f10G .efC Ifrettrrf
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• CERIrKwTtON /t~frw wr rt•f .toNw. tt•r fro •.e ufr fw wr/trf aafre Or t e+1o/Ot0 rent rNw wtt OewM OCCVtleO at f¦e P4p, O» „r
.IN1fK.•N T' ,l r4.te1 p•r ftY fOwr •Irlf N•w. ~wOW~ O•q, ••aD, b ~ Mft
•tn»¦IO tKf 1 ~ OI rr awrua.f twe
N¦ fNUato~ro~~¢,,(~~ •~J ,11 I ~ ~ ~ Ttt/~ Lt/ ~ ,11 ~ TN lU; 55„~:o.w. awfero u.~u
CERTMICATIpH N,:YIC7?t ExAAfNER OR CO R: o.? «e u o. ~ a n. N wwf fo Nu - -
ff.MW.I.],. •N M •»O/O¦ tIr tNrllhG•IpN, IN r~OItN rOptK Mt .f•• y0,»
r» ..c. ..¦f!o o» twf o•w •NO fwR t0 M UtIN ~B logo
lh M ) M
<RTIf1Ef •IaMf ~nN W IN»q - _-rs,
1~sNAT_- ~ ~ p- _ _ _ _ _
tt. Z ..,Clll:~ _~UWC11 ~!'s~-.ter/-,?s„~~ , ofU !6~TE j iir,Nfp...oN'. w.'.a..l
«;lraG appRESS-CEfflftE! ,.;y~txrt qf,¦.f 4 I ~ ~ a to..N _ - - -
l' v1•~~t~c~, Caro 8 rlc~h, Flu1'~T~~.l i~a~~u
RtJNAI fR[MAT1pN. REMOvAI ERr OR CREMAlORr- N,aAfE lOfwllON un Ot fo«.. ,..tl
fIHM.
rw liur ial . ?!fFort Piero _ ~~Qter.X_ z•• ~ F1ariSia
'all rot.rw .•r, rW 1 fUHf At NOME NAAaF AHp AppRf Si • UIfO Off / O ..o , Cnr pf qwN, fort, to 1 j(1
u l v 1 5~ 1975 ort Pierce Funeral Home 106 So .4th .St . , Ft .Pier. c~ , f a
• - fr 1 , !r nRKr _ RE REG11 wf - LGNw/Utf ow tvto t• aoc•1 lrc~u¦•¦~•.•
tiexeby cext~t•~ tie n5ove to `+e n txae end eoixeet eooy
er thc? tocr! rentstxar•q recozd on ~i~e 'fin the Zndian R±ver
t oan!y •+aa1 *fi '1ep~r±mcn± T« Vero 1:eacti. ?2oxidd.'f
This is ndt va?' .'.d vn`ess the zriseQ see?t o~ the xnd~nn
River County Hee?Zth Depazrreent '_s a~'~~xed.
. t. '~~888
_ r~~ ~ ~ , . 19~Q I~PZ 30 ' a ~ 3S ~ " ~ ~
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. ~ FE~ED ~~~EEhii' CttUk1:/0 COb1T *.y !!eal*h Dir. • Local Reg.
Q CLERK CNK~!(T~R~ /f ic~ Q
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r~»x~ PacE1~~z