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HomeMy WebLinkAbout0254 ~,,,,iiiiii/~ 494`7 CERTIFICATE OF DEATH •'R" "t' - ~ ~r .I,.. fr.tl..lt. i l O R I G A wau Nu ra. 395 tnf aClOlht ! Ilgl Ru00t1 W{ ttR OAt1 W oUtN /W , Rer, /r ) OL NINf ...YI+1„ ~ • _,lq • iL11H _ alum ©18 ~ 1980 i wu IV un-~.. w?..e wrL, Aft-t•e/ [+r.rb, Ir/ott t MN Ir/oeR [ wr wn d tItTN /r.., Lti. Ie.) towtr O{ ptAM A, ww. N 1 /r,r.lN ~ rOtT~H 1LnE;. 6602 ' --[SL i~ ~ k 1 c'n..:vM/ d ICKAtIQN d OtAM Itptnut d Onllt IrShN{ION..rt•rL /)/.r e. er[r, rrr) a If/t? d 1//sr II+Men ly)A, . • >t. 7I. iNn 1tAT1 01 4tTN w r U111 W d w{Nr OOtMtttr rAR[It0 Ntvtt rA/trt0, tUMVwp tIQM Iq .Wr Llle r./r wrJ bJ.I , r~.. r.wgl - WIOOWtb, 01VORf10 Np.l?,) {)IIIAt INVar.r[ ! llt~iyl _,J-gt~~t to n: ,r oJ.IN, Local uclnm,Awut IJ/wl tTCQrlAtltTrl(C/r tW q wt Mr Llw d wwtett d lwuttln /:.a 1-12-2582 -..a..w.?~.... .r,...1 r1yWrKl ~tlAl! counn CLTrr, fOwNd ?OCATION f.ttt AIO M/YRtR I,Ilrp[ Cln llrrrt If,rJr Ir r f.1 1« 1. 1«.port S .Lucie t« 5 t•• ?Atwl- ,+Are rlrnr rloa[ WI tNea-au.lota, rwu ntst resat WT ri o Tt. Binko uaw+wa-+.Are « /.rr) two Aowett . trnn W ~ r e. rto. un d tow.. trwn Lrr t 1. N?. JJ.nut. CtlrAtr()M, t[rOYAt, OrNtL I!/ry,1 CLrtltfr d UlLtATOtt--{tALtt tOCJ1t10N Un W M/ t1Ai[ It.. Burial [..Ro al Palm Menl.Gdns. 1 _ !t.-Yates F'un 1 Yr r. N Lev •r ?rMrepe, M /w, des rd ttr 0A w Le.w d e.ee.nerr .M/r +wMyM.ew, ...y w.M e4re • rti ceoleia) v.~ r[vM r M• wh. 4~ M/.Iw W Ir M rl~. te.M!N MtiO. 3 • /J.M+w eV Ir41, r e DATt S,G.ID W.., Orr, 1 r I 1 d 1 ~ Ow1E ilUMO lre., tlp. I•J NOIM d a•tN ~ June 191 1980 2125 P r r = i.Are or Anu.ou~ ?Ntilu:,..r orN[E rNA,1 c[trultlt /I,n.• r•.u j ~ No./ovK[o otAO /r. , n.,. L) rwtiarceo o[Aa iwr.r : ii gee _ „a ow AI r _ _ r?W[ wrq AOp[A O{ CUTJ11lL 1r/trtK1AN, rtOKAt IAAL[wltq /1,M r p.r/ _ j Asuncion Iuyac, M. D., 9507 S. Federal Hic~way, fort St. Luci~L Flarida 33452 ' [[r„SrtAf . L1111t [LC[ntD M ttWSTOAR /Y., Lte,, ri ) i :,As„,ba _ _ _ _ June 20, 1980___ r>. ; ...,•yt 7. IrNtO~Att UlR! ___--tL.7LR ORLI OYL / 1!!LL ILI LLRL IOR b III. /L. Ir).1 _ _V ~ Iwy..ol Mrw.rr rd A,e~ r5~'O I ~ •l "t ACITPE MYOCARDIAL INFARCTION Odl t0. CL AS A COr4[OUtrKE 06 'twrrrel Lelwrr rw •d F~ !o?1R Wt ~ ~ anvAxcEn coRONARY ARTERY DISEASE ~ an to, d As w caaeouerx,[ or. ~ w...f tl.wr..n we...n. • ( IYt OTWl:,G,/~tICANT CaOlrlor6-~-Crdnw cWr.OMw ydeM6 t.w wM wlwM ti./.M p.r +rAftlw AutOrSr /f/.alr wAS USt (trtlt[O IO YEOIGt N ,ee r Y) tLAr:..et rs[,w, rr « R.) - - x r ,wJ nKLe?,rJ.cc~w•.* w:crot « QATt Of INMr/r.., A,. I..I MJIM Or IWII/t awUf Iqw WAIfY oCMRto IOr.(rtlt.ru4trlrr~rdO lS,rrJ,I ]7e Tl?. Ilc r 77! it T. IwIMr Ar wCt[ Is ~.r, ?rr ?VtL O{ INJIM?-A/ Lnro. I.e+. vne,, rwr?, eMO W+dM. tOCAt1pM N[tti d R. {.D. Ile Urr d {OMJN fart S c«-a v. nt. rr~ vii•rb R. 1960 AU -5 Ay ~ 56 - FIIEC ANC F~ C~Jk ; . .Hereby certify thb ro be . true end aornef o~py e# !IM laosl s 1. LUCIE Couit r r Fi ~ Registrar's rooord off Hls in the St. lurcle County HeeMh DRpe1~ R06ER POITRAS rnarrt et Fort Pierce, Florida. aERK CIRC!!It COUR~ ~Q------~ (Warning: Not valid unless rsiser! seal of the Ste Ltrrle ~ _ t County Yeelth Department is affixed.) N. D. MILLER, M. D. - ~ ~ ~"t - County Health Officer a loon ppistrel _Jf~~T , Deputy Irocel Reglstre? ~ ~ liR PAGE Bi!1K • 1 _