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HomeMy WebLinkAbout0978 SU~l61.i~, CERTIFICATE OF DEATH Ogrltaaar of w.........iYi...» s...Ew 7 3 .,\a..\•t•.\ICf F L o R f o A foul rltf ro r.r? Cf N•y\ olltgNt-h•Nt t.yt WDDiI 1.11 f(• Wif 0/ Dl•IM. Y..0. M„~, 1. Lotliae _ _ F• _ Couan Fema(.Ce t Feb.__5L 1979 f.IKt .ti[ ftil ~ w• N,a •4f -t.,. 1 ~••aar tr.t T1 \E•f ,/.Off t 0•? p•I! O? Nttll,Y•. Pr.. Y. I t(wO.lr Ot Ot•iM ..0.• av ~ . f,•<y. • / . Vim I OArf IIDIIfS I W?4 ~ _ White __6.4 ~ _I _ k ~ Feb. 15,. 191_4 ~S#. Lueie - _ U.• IQ1Yw W .Clglr•..•. OE 0!•rlt Itpfhllll iN Gt/llf P4•Uy11p. -taama IU w.wr. 1+• wm aN ...t«l ~f IIDS. Of vSI n•u,e•a Doa. F.t. Ptehce _Lacv?uao_od tiled~ca.~ Cen.teh t~ U.O.A• / Y•a C/ f~rr •u •w Clt.Etr, wwlt CoVhtfl ruMttp, htvH r•RdO, fwrlvlr.4 S?GUSE 14 aw, 1 ~ w~0ow/o arafceo t.,ny., at.a.If:t•<E • New Jendel ~ U.S.A. 1. Iuan~ci.ed 11 Hcucold Cow_rut ' ~.li .•N•'ll Y~••1 ff...a.:•IVyrflf '.SU•lOa(W••loq lt.... WI.I ..+t I-a•6•.y ~a.rAdfiA1MlS Cif rQl6tA U .aup.t -.o.l ...a.y 4•.no J.•...•b It ia9-10-9010 _ 1,.__ HOUbe_ W~.~e Own Nome _ ail .IV! fl MEI - - - •pV S.C/N 11-~ -1•lt .r•Il C4WIr lltr. Ifiar,t (N l0C•IgN - - flfllr •..O MUaaflf IwLG1 Clta t•YIt3 Ir.•.yt r.. « t.? to FP~n.cda r» S#. Lucie Ik Ft. P.ienee IN 915 Ave.. At. ra• rI M.¦-~J.•f /~qI r.OakE USI apltllf-r•ICIN N•r! ?14t r10D11 a/att oltn E• Kws~eh Elbe 1acnl~~ .~•:IY••.' Y! Ir.•• I'•w/ Malll•/. •DINI11 fltttt CA ¦ / D 14 Clra Of tpaa•. St•i! l•. N/i~tetd Cown?t t]. 915 Ave. ~1 F#. P~.ehee F.P.a. 33450 - s.i Ul va•.p?a, E?tr ~•t OLItf (la...rN llrlll f'. U! u!r•totr_t+•rt IOgltlOn Cltr of IOM• s*•tl Caemati.an l» Neehon Cnemato~_-- - Ik Wedz Palm Beaeh~ Fta. Ib ? ~-~~C/,llrli «lt - t+._Ba~ Funehcte Horne 901 N. 7#h S#. F#. P.~ehee Fta ~ to M.a .h• •Y•1•..ya..t•,M• •..r•q ...»f+•t.l~y Wd tl. On IY N. • 1r a•e•• ..+.M r.e'M :wwN fMM. .V'wY i•II _ ~ ava ~ a~ w....y acv; ~ aaar.?] r M /w. w.a aw ~Iw. are u M qr:•1 MNa- D•tl ! 1.10 rar.. 0... 1. , IrOltf d Ot•M ~ D•It LG•4O Ir.. A•. r... l r ~ ~ i; .,.~....u1•.~.a:..~,]wlu.,fo+,rt.rwwcetr:nu/n.• r.••l j~ ..~•~,val~w.olr..a..r.. noNOlr.ctDawolr..., _ t i• ~ u ttt •I r ~ - - - - - - _ na ow r.art •po •tt.tu v/ Ctr]artf '.f.U.N. MIDIUI tvaY».lq / r~N ~r••a y 't / y L ~ 1' 1 li ` K 't, u,.aua - ~ re fuuvlo fa nusltAf ,r.. M. .•r r.-utE U..".t It•lEf uNI Wt rat ]e /!f Ilal I(rr !•1. ta.. 1.0 f.~ 1 Ilw.w'fr`aaw ar~~~ illp tYY1 i •11 /•El N: P I vela.r.•.G we 1;, d •s • Caa/a,elu d ' laaarval Galt •..l? b,i.t Wt ~ 1 ) J 1 w ; ~.,.~c- r C•-c c.cr.-_~_L•Cr-~~:,~-f~,ysGs..~-a ~e wf r ~ Or •S • U<6lWEtICE d - - ~i~~v.1 IMi Tiwr Sri ' - - --i---- , t ?Ur urnt?,.?..r:..m C- t w..?.•+71•da.wt«•....al.,.a .•sa.,..rw^'•rwnlw •yfOrfr /]?n waS4fE tt/tr1E0 r0 a•tD.Ut q ~ ~ t..~u EIUWMfft/••y?rwrr•~ we ....~ttii w¢la r - o.rl d I?awat~rr.. f... r. , low d INAtfr OfxfiEl tow IN1Yfr O( eto w1t?K.JI Y u•4lltl r:NtO ,],ny.r ] ~ .+..a;~• •t w.;aa ~s.•.:: ?aKt d IMrlfr I ~.1tb.. .«a.~. Ist•a.?..tt ...•Y•M. IOCAtI(I?1 StflEl U f r O. tr Uir Of towta fTAtE I.n Ua ` ~ ]b.~ o.cvs p. nt t~- t•... a+tp1A ~Eat+~br ewtffy thM to be s trw and correct copy of the ?lll ftl 9gfttlrtra rroord txt file in the St. facie County Health Der,•frt {~.Q is^~,~ ~ 7 ~~i 3= ?=i nref M Fart Pier+a, Fbrida. (Vllarrtlnpt Not vsfid unless raised seal of the St. l~ue Courtfy yselth DepartrrEent is affixed.) _ • ? r N. D. MILLER, M. D. - ?y ~ - i county Nealth Ofitcer b L Etl Registra/ 5U 1612 • ~ ~ l~ , ~ ~v o~.c ~ Cct~ii~ c~ ~ .~t Deputy focal Reotct.w. ~ ~q~K J`t~ PAGE 971