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•. oowlTT St. Lucie 66-XX • STATE 1•lorida s oouNTY 5t Lu i
~. CIT11. Te'1RM.OR 1ACATg11 t. K MACE Oi 0[ATN t. CITr, TOMIM.OR IACATIOM f. K RESlOENCE
Ft. Pierce Rural INSIDE CITr IIMITST
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1~'t. Pierce Rural IMS~OE CITY IIMIT31
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~tar~o~~e Ave., White City OM A /ARYL
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(~«rhr) Jose Harold Jones ~"T" 12 ~ 7 ~ 1 8
SE1 ! ~~ ~ RAtI T PARRIED ~ MEYER MMRIEO • OATS Oi MRTN ! AGE (/N rte-1 I1/IrER I rGR VyER N MAS
:Tale White
TROOIEO avoRCEO t wwn)
your 5r 1906 ~j2 r..w or. r..r. rr..
1M 1/iuAlOCC1IATIOIIIOMtEiN/t/rpEMt Ia RMIDO-MISWESSORiNOYlTRr 11 MRTII/LACE($.ftwhrtl/RtwRrrr) t CITtLierwNrQO{111YRrr
~"ec~tan~c +~'"~'"~"t/r~~) Auto Hickman, Ky. U.S.A.
1~. rATM[R'S NAME 1 MOTHER'S MAIDEN NAME
Rodney Jones Margaret Pilant
IS •AS otuASlo E vER w u s. ARMED ruRtlsr It socrAt slcuRlTr No. 17 a e1wATwlr
Yates
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IMMEOUTE WusE (.) Carcinoma of eso o us °~ f~rs
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CART a orNU srcwltArn carraTloRS oomRiwnrs w DEATH RUr MDT REUr[o ro rNC nRrNrt orsEASE caarnM cMCR M rARr r(.) w s AuTOrsr
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~ 1 ~ DESCRIr4 NOIr NUY11r OCCURR[D f t_wtr- •etrrt a/ r•)rrr 1. /'e-r / er /yrr U y Mtn r1.)
Acc10ENT wiC~DE NorKla
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mr TIrE Or Jlair xr•rA, Der. Yter
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>n1 MuURr OCCURwl0 1nr rtACE or INJURr It R .her elver Aeew, mJ CITr. TOITIr. OR LOGIRMI COUNTY STATE
7NNILE AT ~ NOl INAI p /V ~• aee-r. «ItN, ewcl ry., «r. )
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jI /.ranted rA• decweed a•rN April _ . r• lleC. - .wa /•er e•.
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Oe•rA ecortted •t _ 2:Q~ A won tA» date er.red.frw.; •nd to tM AWr d eat Rn•.ladle. Item rA• e•reee eared.
jj• eteNATYEi[ (/Jr/rtt M fY4) 1'~ ADDRESS jlt. DATE SN.11[O
Alva D. Orr Fi.L. 616 N. 7th. St.Ft.Pierce Fla. 12-8-58
2b RUII+At. tTaiutrwlt
REpOY IJOttI/rl
l 23r DATE 2k NAPE Oi CEMETERr OR CREMATOIIY 2T/. IOCATR>rl (GYr, rrw, M aw•fr) (&«t)
buria 2-10-58 White Cit Cemete Ft. Pierce St. Lucie Fla.
jt fUwERAi OM OR S SIGIIATURE ADDRESS IS GATE RECD. RY IOCAL REG ~. REGKTRAR'S SIGIIATURE
Jose W. Yates Ft. Pierce Fla. 12-11-58 Anna Lee Denison~d.r. ___
r:ereby csnlty this to be a true and correct co (~ ~E~ -3 ~ 1~~ ~ 7
Qec~isrrars reccld on file in the St. Lucie CountyHe~ -h pep~~r~ .FILED RMC Ff.CORDEQ
T1ent "' Fort ~ .~:,e. Florida. ST.LUC COUNIY.FLA.
ROG~R POITRAS
(V1ia: rt~`r.T t~;ot ~a';d unless raised seal of the St. L(~ie CLERK CIRCUIT COt1RT-~
Cbu~ty Ideatsh Oeoartment is affixed.) REtORR YERlFIEO~. ~~ '
N. D. MILLER. M. D. ~ `rv~716S r,,= "' .
Courny ealth Ufiicer i Locei Reg ~ 'M
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D~ ~ Local RaViatrar .
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