HomeMy WebLinkAbout0975 .
.....~«rrrri w~.~.~.»n..~.. CERTtFICATt 0!I pEATH ~
»r~M-aMri MM YN011 WI M! MM 01 NAM fw. fl~?.•J
~w. , ~eo~ti]'e L• P~calnsc : 1~lnle ~ . 16, 1980 r~-
wa M o. A0t-.r.r wa ~ rr.lr wsw ~ ar Mn a wM /w. rAw tN aowrr a w?wf
6602 ~r•~•}~~ It~ t t s, ~7?n'fa ~4,~.915 1~w St• L>1C~ ~p~,
ttlrr. w~wr Ol W4rgn p OMa nolrrtAt 0~ ow,M Mtp~lYtgN-Mnl Ir w r/~w
r~w`+w r wry ~ f;w~li/
lt* ~ R ~y VR•Y~L~ AI. '
t tM>t Or ~Jl.yinwi wrq Orltwl Or Mpl1f 001/rllr MWRw 1 IIA111NM tl'OMf tr ~Mi? IM ~MIr wMl
.r..«o . PA R ti4A ~ . ~~+ed rr. lhc3reds
~OOA~ aarrrr r~rrMt _ reuA+OOaIr~ArrttN /sr. rrw.w
~
~w+.q or owner
~ ..ewc~-aAr~ ao~ an. w~wf a rttarro» r~iwn
Fl,oac3~ds St. t~ucio Pooct St.
Ir>~s 584 sa Ave.
r «.w-wwe aw woote wr wiw rwrr wr
weOWAM~~Y11M R!M M hYI 101M1
Frieda I+Yafla S84 6B 11v~eaus, Fboet St. L~to3+e - P7roaride~ 394
•.w. ae.Mrrop, rror.~ owe. glrryll nrrnar a weaosr~re - rodwow an as roiw wr.
• Aenwal - 8u>ri~l t. Mt. loyal Oea~beae,Y t,r, Pittsburgh, PA
~t wow
? . Ya~Dd P1ao11ea,'al HOme, ~1C. , Port P3rer09, P'1,O~ri+da 33452 * .
tn,..r..r?.w~ ~ ~11 • l .th~..++4~r~ww~w~.w~i~~i~w.~
od ' ~
e.re nr+~s fer. e.? nt woM ~ we tew~ te:, a.? nr noM a NAM
a tr? ~ ww. - tra •
d~ wiw or wrnroro ~Aw r over cfmno tM. r rw S ~ wowoirRM NY tw. ~ nl gtIn0lMUtt N11<• terl -
tila ~IfL OM wr • •r.
AMY! A+o.eo~atsrrmM ~wgKwti rwrn?lxArnre~ frlM.rw ~.f
Aeundae>< M. 9507 South P~edaocrall _ _
et ~ ~ ~ ,~,11pri 1 11980 ~
•.m~as
4.swr >K r~>• t671n Ina1•M1 uMS r! IIt Ire /M JwhA! - ir.www...r..rr.~ -
~ ~ M arrr~oL~r~i ttnLt ~ococ~nla. no~~crior~ ~ _
MIl 10.01 N A OY~II,Ir! t76 ~ Wa11wr ~t W rtr
0g1r1 Wt
~ . w ADYANCID CORONASY ARTII~Y DI$FASE - ~ f-
oue rp a K ~ aore/aiMwae ati ~~iw
..r.r w.~
» AHT~I06CI.F.S0TIC' ~ ~ ~ ~
owet ulwrtiwr COwMnOw-trM~+r+~wr ~ war 1,r r M+r Nn ~ M AN01N ~w O~AMr~M
~
r:
`r~s T .
IpWppR; ~rtW~r! fMri!) WUt p Mlllfll f~h.IR l~J ~OIO p ~MMr ttl~~» MOIM fMAAr Om~tO
sa r
Mll/r •r 7r0rt llM.~h Ir hKt O~ wIM~
~ ~Aj MM. rwM. ~Mr ~.~My. 10G~1gM ~1Nr Ot) !./I. 1i. Orr p IOIMI 0Y1f
rA ,w1 Q?
C¦~~
~ s.. sr. 1.
~
.
II ' cernty thrs to be a true and oarrect coPY ~ the L+oc~t ~ - t t~_ ='tt. ~ -
~ Qom, eoy ~ record on file in the St. Lucie County Heahh Dtipart- '~1~':;,
~ Z.
ment r: Fart P'etce. Flog+da. . ' ! ,
`r' i
~yyar,,,..:Q: Mot va'~d unless raised seal of the St. Ludt! -
4 ;
County 1~eaith Department it affixed? ,
~ - _ N. D. MILLER. ~H. D. "~~'~e
• County Meahh Oft„er d. Local Reg~trer ~ ,f i
•
D Deputy Local Reaisrrar
r
~ •
. ~ ~ ,
3 ~ _ _
9
I
i I
~ \ 1980 SEP 24 A!i ii= 52
0 -
I - FILED RtlC FECQRDED
I S ROGER
PO
TRASH
/ CLERK CIRCUt7 COURrj/, -
-