HomeMy WebLinkAbout1596 492245
CERTIFICATE OF DEATH s•~
.1 14.M .d. R.i.bM.tt.. Y.•+aw ~ erwTS E~ tro. ' ~ ' ~
nntalN(r ~.+..tM LORID 47 •t c
•N. Or frM 11t a ~•r,•gttw,w•twtM 11<OItT11AR • NO_
OrtatAlMM IIIt OK(A3t0-NA!!t o•!+ ci••N • str OA q pt•M Wnti. •••..!u t
Se ""r~"~ YOUNG ALLEN ,MALE ,JANUARY 18, 1975
.swoms ,
rAee ..w. w•a. w«c•c w,•uc, AGE-uu w•• + n•• •.r•! . • OAt! p MtIN.t.aw+. r••, C04RCtr p OEAM
crc a lr,c.. t wt¦w• • n.•u ro! f•n :o•.! 'r'• ~
~-~i~A M w d6 rra t•• a•rr! M03MAl or O. ra;t - . r «otTrt !r¦t•. o.w !w!t rrrw. a
6602 '"(""'!°'r°
» FORT PIERCE YES Tt FORT PIERCE MEMORI,I. HOSPITAL
ftAtt 01 WtM . r rpt • e+ p wtMt coanrr •cArMEO. NErtr f[ARritO, itlrtfNMG flOUS! •w-Nw
+•tMr .rrr t
cow..a wpOwEO. avprCEO t ttfcr+t
nl~tca ( GEORGIA • USA n MARRIED a NANCY HARRIS .
+.[n .•[lrtw
aiw• c N•tr iOCw 3ECUrtn i+i,nrE~ t
~1i1 OCGIfM»IOY •i~iw a rror •ow •arrtr n•O a R!p p MISMESS Or ~[oustat -
O[tY•N• r
2a5-20-6329 n, LABORER
0:~'0•x' .EStoeNu-sun eotNctr Gtr, TOww. Or coewtloN .tlrf cw can strrtT Nurrli
t wcr. n! a• tto
FLORIDA SAINT LUCIE FO T ERCE t[f YES 1 Avenue I
rATMtr_N..+t tale .nw! a•!• rotMEr-ANpEgNAATE n!!e rawc ~ a•!t
n Willie Allen Jessie Unknown
iworMANT-NAMt !lAat[G Aoortsi aM!!fa a.,..- +to. a!• a +oe. w•t!. ea -
Mrs Nan Allen t» 251 6 Avenue TrITt Ft.Pierce Fln.
t.M M a M
?Art OEAM wAs CwusEO rr: ItNTtr ONtr W+! t:Allst ntr (wE EOr h? AL w+0 kll Mt.u.r or!!+ .,r •l,ar
M tw•a -
IN CtR c } i r~ t O'~•.c ~ 1a1nS•
• ,
t
cOrMnprl, N ~a 1 . , - f`r~ 1 a'+
~,a[¦ e••a a!i q ~ lttl V....a/O C ~'r A J ;
,a••Ir~ tom! rM••!-
anu~ (tq~M a?N
I[I '
fAJt • OTM(r s~nwKAT[t COlAttgnS: cor•.twq Cor•uwtrr q M••t rat rutty q c•ar!• •t•nr tw ••n . t•t MltOfii Ir T'ES •r•N nw•.c•! ca•
tws 0•.ot rwln • wntr.cra c•tn• ,
a w•a¦
tt! n0 tw
a.•~.~t~~
Kc~bC .cart.. nut r MOW TNl11r~ Ot:t:WrEO rfr•f• wwn a rwtr•. w r•n t o• R ,al. ua +
tprKtOf. W tpptT(•MrdO
9Or - }w 71t M 7M ~ .
INJWf Al tHpr[ E Of NA/r •a .or. ltnet, a•ttp•r, ?OCATION a a•••t of •.•1. w0., ew a. •p~w, pM t
t!•![•tt n! a rpt ua,K• t••O.,[tC NtKrta
r!, ]M
CtrTrKwtKtN-. otw r• t••• „ocr •f.! w t•!t at./tw ,caw er t •a/•r tat w!. w Oe•nt oeeu«to w •••c!. w tr !
frrlKt•tr, cwt. •!n• •o•• •M••tia•w. ..o.a: ~ pyw. •r•. t0 M MY
. •mw!• aw TO ~ 8-75 tN N tt. 5 : rJ~ to ~e a~ws
wrMi-
w[tsr.•.o. ~ -7-75• tt! 1-18-75 Tk
Ctatett:AttOw-MEOfCA? EfwrW[(r p. t.a d tn• n••• a a•w arty wcn•w w t•OwOxr[N w•• ,
•au,••a.o.. ,tr ny tW •y/b Ur .r.tttc•tac, w prp., „Ort•a Mt nY wOO. ,
w••. Ot[~n,• Or ~ Mn •ra M q nn UaMW ft•7a• • M C C •
C(rtrgf-NAME tnr• O• r•..n (...i O• tray A St~.NEO .rp.aw, M•. •!••a ~
Leonard' 8er MJ ~ - ~ 't-' ? ' 'i ~ ~ 1-20-75 ,
ltnaa p to • tw• •Orw !t•n tr
""%'PT"~Se~`di,~~'re Ave. , Ft. Pierce, ~1or~da 33450 i
ruf W, C.r(MATtpN, r(MQvA( NlEttrr q CrEMAIOI~-NAME (OCATKfH an p ao.c w»
~II' :
~~r BU_
RIAL T» PINE GROVE CII~SETERY FORT PIERCE, FLORIDA
OATt ..w~c. n•!t TyNErAI MOMt-NAME AND AODrESS . lrMn a i cw• M q.w. Wn. ur t
f` Jtan Yy 26, 19 S ' S 11 r
v. S. r611 ruNt~~i tcTOr- r( -srct+Arw( on •tu a«.. u . tt.•
rf., lato , January tL , 1975
4
•l - - ~ 492245 _
thb to be•e true end aornct Dopy ~ the Local •
~ r»reby aartify Heath Depart- ygsa J t,L -
Registrar's record on file in the St• Lucie County ~ ~ ~ ~ ~ .
tnent at Fort Pierce, Florida.
(Warning: Not valid unless raised seal of the St. Lucie
p County Yealth Oepartrt?e^t it affixeda
-
p N. D. M1LlER, M. D• Istrar 11E't~ j
~ Ca,nry Health Officer as Local Rep' , ~
say ~~4
3 • I ~ V ' •4 - ire .
~ / ~ ~ Qom- G
~ OlPUfV Local ReoTStrer _ _ .
I 3 r .
~ ~Il _
' ,
. t
/ j
.
c'
. ~ _
S
f
E • '
! -
f
t
I
X3'34 ?~~i88
- -
-