HomeMy WebLinkAbout2707 . ~
48'7605
1980 MAY 23 P!i 3 49
a
>~~o ~r~c +~EC w.a }
SLLi~ Y.iIA.
ItOGfR ~ i RCS
a~ CUtCt1iT CIIURT ~P
48'7605 !i
CERTItRICATE OF DEATH
OtMrrrr N sf.i~ tat WtMn11w tt/tEttt
•1T•~ •••,•wu. / L O R I p A tout Mu b,.
a relw7 oEtwoelt-+NrE rlesr t11oaE tA77 sac own a oEwnt Ira, ~ •.J
BFId L. ADKIN.S Z Male ~1ay 5, 1980
Will 111[ - t~1~E-~.L. Mtir. Wd. A6!-ter
JM.riq ICON 1 rEw! WOE! T Mr OAn a r!M Ira. Its. a•J CtOWf11 a OIwIN
M ~Atllte ~ /1 ~ 'R ~
-19 June 22 1908 7a
a7r, toww a tOCA7tZ1N a etwelt Ilowcwt of oaN rsnnrtlol~-w.. rn,.. +..wr. w +...r ~,E.I v ws. oe os?. Iwr. ow.
iE.... ww... n,..v,~
VE'~ 1 rt. Indian I~Ve1~ Merorial HOBpital sa bent
sTwn a tent pl.« r ctt12EN a wwt coll+ca ttwNle o/tvEt rwanEO sutvlrlw srousE /Y .:I.. r.. ....T
IlJ.. ra• r>rrtJ MIOOwE3. Otr0IC[O If1~i/11
~ttt7 ~ Arkansas USA t.. Marr3sd
TT.
i~vco'E 1 oE~ soowt staunn wrwe uEwt oaaurwnoN Ic.. w.r,f ..t wr f ow a w~sE oe aouEnr
n O~I/iTr COY, 70YIIt 0I lOCA110q !T AIO MWYEt M6tOE Cmt tttrn t
t... Florida St. I~tcie ,k Fbrt Pierce 14. 5307 Rianar AVenl]ie '..~~'NO
swM.-.rrE East ,wou <ws, filet.-rwloa..MrE rlsE r1oaE twtE
E3. James A. Adkins Berta Brown
tltlotrulE_+IwttE Rsr. r tr0 wootal SttEtt Ot Lr_o. Ito:. on Ot 701MN srwn E is
Elizabeth Adkins T>.. 5307 RiAmar Avenue Fort Pieroe Florida
tUtlwl, CEErwttOtt, etttovwt, O/ttt /tt..;Ir1 ~ CErEiNr O..t.Cytfrn~tjOew?-+u~lrE y,~~,,~ tOGiloN Cm Ol tOwtN iL?n
/ it1~EW 6.1~A1 1~. FDib r~Gi~JC ~W11~ Ih
. IIItEW 1OrE
~ _ n. Y tes F1u~eral ice, Inc. Flom Pieroe Florida
~-~d
W ~.~7' • ~r? !la Ow M Mw. d.awr•~r «dM' .w~ L.~ ~wi.w r)r?
- r .mtw+~ . r. it wt wc.
w M`r
r......ld ,u.a_
wn slcwm /r.. M. r.J ttl owrE slnteo /r.• M. 7•J lout a oEwnl
>o.. r ~ -
s s7c 71? 71c r
~ W WE a wttENOM~R MITLd,W /E oT1Et 11YW CEITIfIN /in. r 1 = ItOMO1NCW OEAY (rw. M. 1.J /EOfW4lD OGO /I..•~
7x r~ oot 71.. wr r
W WE w1O Q t EEArMtEq fTl/. r ~wrl
~ 77. • / I• O a. /'CIr QC~~
- ~ own a~cEjrv,,t~o Irc etctsctwt /r... try 7•.I
colprlpta ss'' /sr"""~~i~aC~ ~ ~ d~s.~ isk - //i ~7
wlnoi~cwvE to IrttEOlw (argl Iltf ussr ItI [ /oR Ll. b ittl /dJ ~ 1.•r.d Mwww rr r+/ AtJ
Ittttt'xEOUn twtt UI _ 1
cwlee tw ~
~ !Jt'rOEtIrIMG OYE i0.O! A7 A G016EWEIICE a.
CAitfE lAii I Irrtil r/ •rr
M ~
art to, of wf w misEQUEwa oR
'tnr.d Mtwr r..t..I Itw~
~ cd t
1wt7 OiMEt SIG•oHClwf d~/pT0/6-Crir.~. r Arr wl.r~ r wt..
N ~~rM M~ w IAf7 1 M AYIOK`/ IJr«ilr IMwf CAiE lEFB!!O 10It[OICl1?
,>,r r/ all1tt11tEt / 7r r tbl
/1w x-
AOCIOEIR, fU1C10t r Ow1E a INwRT l r.. M.1•-1 IIOII! a tltNir pE9QItE tOw IMJytr OOO1ttE0
« IIttlEitttlBiN /fpe./>rl
2)a DY. ~ Y
!t4 fw 317. War AT 1pOt[ flw./i f•+ MAC[ a YUIMK.-w• Itrr. frw. r+w. Iwrf..~M ~..1i.E„ /OCAt1Wt iTtEET Ot Lf.O. Nw Oir 0E lOMM1 fGn
VItM~ 77E_ `
I HEREBY CERTIFY ~ ABOVE TO BE A TRL~ AND OORRECT DOPY OF ~ IACAI,
~REGIS'IT2AR' s REQp IN TES
OOU~i'Y HFALTH i.NIT AT J
VERO BF1~i 7 _ _ _ ~
~iIS LS I~ RAISED 'SEAL, OF 1~
INDIAN ~ H~: ~NIT• IS AFFIXED,
.,l ~ - ~ .FLAOD M. A.
. ; ' 3~.I~zr OOiNIY HEAZTH DIRECIpR/REGISI'RAR~
. ~ RE