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HomeMy WebLinkAbout1751 5U't199 rl.f/I,INaf.a CERTIFICATE Of DEATH ff.>,.II.Ib _ wfAa .unprc. FLORIDA l,~,lE/.~,p. 23 r»f acta/1f -,..r11 rrtst a wu.r Mr001E wl ua an d aAM r r.. . .«.r «!E _ Ad~_a _ _ Lee Smith t mile 12.198Q NAIa as fABf Mlwti. wra. A4t-l4 M.i! Ir+aa 1 h.f IArat ~1 Mt pAll d Mflrl /11.. Iw. r•.1~ <Owr. d qAM A_. Ir....l,alrsN•w1 l?n, AW6 1~ WR NDIA! 1 rule . 6699 1 UeC. ~0.142Z- _~tfl . LiCie _ _ Cti.. IOWy O1 IOCAtrtl/l f>f aAM Ifp6?r1Al d OIIM1 114111u11pN DIa..11I ..l w .rM•. w.r AV -_I../ 11 IOy d pot IrM,c.ra OfY, d/E...... rrp•'A.r r yn.y r " Dort. P ~ 1~awr>laood ~Oentsr DOA afAtld MfMp/ww tuulwa wAr cower M.IINp-NrE1 YAMIED. SIRYM/6 y/lripE N/•.M.Aw r.N. y.rl " 1~ ~ 1. w. •.w..1 Wr0[,rfO. /IlrpflD 1~In N.1 rwnaar.vo M33;C~ rr. WillnL~d 8..- urfC ua•ttl flXwslcwrnwrstt awllxcu?Aflwra~.a..f.l.sbr.6..y a/1Ogffan•wsiOt~wusnr~-- - - occulalor.~ Aa.....y...r.r1 " ..,,r,,,Tb... err 430-~6- ~ _ + l1 LOIrA! NIp1 It - .OIIg6VH _ f } SiiiQ n),ra/4E SIAM (OI?1tt cll., IfjMl?/ d IOIAIIQN Intl bhp MIrMF! r"Nd clh trr.y I~ lorida 1+ St. L1xiB IM. Flood Pi,eroe IY 211 in _ IAtlr{f -hArf f/tsi lIIOOIE Wt Ma -1aA1p(N /Nlrt tN{t YWaE lA1f If" F. ~ Sivl 1. Lila .•./all.tir-?Mf1E Inn • h•..1 n1.R.' AOOa133 slnfl ON a r o ?lb. an O! tpgOl stAte tl. 1~ Willard R. Smith 1,.211 1lxnblin Kl Fbrt "Pierce Florida 3345 lyagl. ulwllrr..nwwAl.oMlus/«.r,, clrnur OlicnlrAlon-IIAw 10(1r/ol ot. Oft lore s*Atl A,'. t y_ I V i~ ~ 1+ .q yy~ ~ty L1i3lCte~ I K- ~ _ ~ ~~.i~ev. Fl~1YLi - r...luuaE p-I IWUI low ~ Iw I y.r....N Irl. r, j .aww./ ant rrr rw. W.v .~l 'ir L G . hi .w. i~ a ti...•.•• .-1 r.r./, ` r>•n sK+ao fw. doll. a IIUM au srWlo /lr.. w.. f..- - - - - w a.~OtJND DEAD rrtifaAtn*.pw~r.asKUNrrourltcwNCnwuf/E.N..I....r rprlovalooeAOrr..a..t... nc»gl„ctooEAO~r.... a rJ4f AM Ao0af3td (latrlrla IIrIISKUrM. Attf,KAt t,AMW„ f,.N r IwI 71 /lwltt.t ' ~ pal! flClrYtO of flaSttAf /Y.. M. t. 1 ca+c;r~,o,a n_ l?........I, vim'-'~c~Ll~. ..,~L~ t>, _ 011_580__ IMrfpr CUVf :A rrwtdAlf (.IA/ 11\1/A Url1 Orl f l'N ?I tt /IrR 11 ; fM, !.1411 - _ _ ~br....l Wroaa. rrrlOUt! 1Alt M i a` ~ ~ - CA1tDI0RESPIxATORY._ARRESZ_____~------- 1 4~WSf!`lws/ { bUE b. fH u A gY6tOUthCt d. ~ (l.iw..r w+......a1r ar? ~ ARTERIOSCLEROTIC IiEART_ DISEASE . . _ _ _ ~ - PUf p. Oa AS A (O18(fly(/{l d 1 w,,,+ wr„~-.Mr ~ MA hl ( fAn OIMI'XJn11c A•.1ad.DrIrQIQ C.wArw<w"?r..W•.•1r.s~. 4•w•wi.._ly......ryw w,All/hl ~AyTO/f/IS1...h fl4t fJ~3l n/fMEOpMlOrGll » r ..1 1tAMIMIf I,N~.rMr In. A.l r.~s.s?r.l A(C.pf•.t, 51FCMl v -•~OAtE Oi rant.. Y.. 0...1. I KK. IhM~ D! rtt.OW WIUf? OCCIIEfE~ ~~a7 faf..rrC•Of. pil4Eif.aludfl ( ~ found de~~' NATU 1-12-80 7 : 0>~' LYING IN BEDRAOM IK r..-s.) - r••4Wr •r graf ,.,...r. E.. n.fE Or n.nRr b... a........•r.. Lr.+v IM llrlln lnln Of e E o IW ulr Of 10MA1 --------sure NO r nl. ~ f~""~tYiOME Z11 THUI~BLING KUNG RD . FT .PIERCE / rsra,l ~ s~rtify shit 'b b~ ~ tna? and aanet Dopy of tfM L+ocaE Mrs noord Din ~1N~ In tip St. Ludo County H~ehh Dapaet- rnMit dFort ~iM~+1o, Fbrlda. • 1. s(. (Vllamin9: Nat valid unlNS .+~iwd awl of thu St. Ludy . ~ . . County YN~+ ~D~partnMM is a#ix~d.) y. - ' N. D. MILLER, M. D. - County Hsahh Offices a foal Rapistrar . DMo Osputy foal Istrer _ - • ` , ~ 1 - • So 11 q9 Aso s r~ ~ srA ~ F~a.Er awe *ii:cr:i'C st.auci!• ccuNrY.is i - ROGER POITRA5 , ' Cl£RK CtkCUiT~~GU/~RcT~,~qr X39 P~Ei~151. ,s