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HomeMy WebLinkAbout10645(.;94f 2 CERTIFICATE OF DEATH ~~ ~tiE tow /at Ea 4 67 FLORID A srAn nu la. otclaNr~f.rE T~ /I~E~Sr~ 'w~op_t1' IAtt OttM~r.1 ~ -- i ~~ EER M~e pAEfOfOEATMfY.,a,.1•/ ""'"""' '- ~ r Jul 301980 @tK[ I+i EK!-r f/ . WAy. Eycl. 116E-teM R.+~.:.r r,MIE 1 iEA! W-0fE 1 wr 0+1tE O/ bEM f r+. a•, t•.I COWEt O/ OE11tM A` r /"""'~ ,~ f~0' "'°s ;-°"`~ - "°~ ;- "'"~ ~ April 14, 1900 Ie St. ?.~cie 6602 Oir• torrlf p IOCAt1pN d OEAtN M06nTAl OE OtMER IhSI1I1I1gN-Nr~A /f/ r r wN.• Mr r.,n Mf yy..! 11 Mpy Df /rsr , •~fcse DpA, ,~ Ft. Pierre >< Ialrvr>REaood Medical Center °E" •- '~i~i~"" ~, ~~ surf a wrM n-.«.e uruEN o/ w-IAt cower rAEE1E0. NEvn rAEEUO. - wevmw sroltst n/ e.N. Ee, ..t.. we•. ~~{/O l.E, we,,w•.f ~~`~ ~1~pQ~(Owpv~OEC~EpE IS~enhf ~~^~J ~' ~••~~~ry'~ YSU,l EtYOr•rcf • •~+ ~. `~'• Ip •~~~"r`~ It.~~i ~~~ _^_~""~• WttEEE OlErwflO uvro a ou•M socl.l SECUE,Er wwEE uswl OCWEAtgN /ti•.. E.., y.... ~... ouuEEea t•r ~•v RING W wawESS OE wol,sttr '•°"t'~iO'' "`E /: 264-48-4399A „ Merc~san~'~~ Y•• •w J ..Y.., ~ Retailer ns+wrcE EefoEr ~~~ EESIDlKE-StAt! (Ot1Ntr Clrr, rOwq q IOCAr1pN rEEEr u0 NYWE! ~~>OE U•r uw'S I.e. FlOr1C~a Ef+ St. IatlCle E«. Ft. Pferoe ,., ?l9 (i~OCrCJid Avenue ;; -`••~e.S..r /ATNEE-N+ttE ilEyl YIOpE ~tAtl MEE-rA10EN NAPE /L/tS21~ WPOIE IASt E.~~ li i7CiL1.JGi L. rR EJrJ..~ 1.. ~tllJ+Q ~i~{J.JI. ftifOEttu:t _MYr /r•,.., r..v. Itiw AOOEESS SrEEEr 0E ^ r 0 Np un Ott tOrrN sT•tE 2•e - f>v E. Waters 1..719 Georgia AveTwe, Fart Pierre, Flarida 33450 pgiel, CtteUltlQ1,, fEriOVAE.OMEE /s,.,./., CEYEttttr W cEEY•rpEr-f+1•a,E IOCAEgN Orr Of EQN11f SEATS tEy Bur' IE. Ft. Pierce t~ Ft. Pierce, Florida rta~Ew a /uNEUt MoYE AooeESs "` - IE.. aces Funeral Hone, P.O. Box 777, Ft. PleY.~', Fl 33454 • •fy e,c.•.eA w Men .+d/A..e r +r >!1.- Ow ~M Ow..E .w•r. w~.. +..n•gsr...•. •+.1r ww•. ewr+. «.vr+ a M • .+r. l~ ~ - --- C -- L s -- s.y w trx. w a,. y +y nwlti .vye. f- - - - - -- - - -- /~- EEwt.. w bEp p11rE slw.lo /r. .. r.. M011E Of OUrM pAtE slc+rEO fr..• a.. 1. f MOPE W a•rM • /~/_ r_J(~j~7 ryr/+w~ '~ wwf OE RTTENQ:^,(. fwrSlcluf n OME rftw CEEiInQ Il•p r,.w/ f ~ IEONpv1cE0 DEAD f w._ Er.., t.., EEONOIKED OE,10 .w..•. a x, TSelyEn ~'VcIkrnvskT, M.D., P~ _ _ _ __ _ _ TL ON ty .r Y ---- -- - --- -- •.,rF ••-0•COEf~ZffAjlE! jl~l~i~•,~i~l(/1l EMArwEb lrrM~rw. - - ... __ _ ___.__ __. __ --_ . n -E:) • .•rrE• ; Inrida 33450 EEGIITRAE DAtE EEC6rE0 p EEWSiuf a Y,, a.• r. , -o~.•.•s ,~. ,..,,.....~k~ ~_ ./U ~ ' ~. August 4_, 1980 MM iw ....r :• .MrEO••r~lE(/1ySE 1E~I ~/1 Or[ f ,1! I!1 L„! /OA 1.,. f. f. IE6 I.r 1 -__ _ - _ ___._ _-__._ --_~ Iwy...I M.we+~.M I»•~' 'YMI~' a' tYr NI ~ ~ E u TO E L~ ~~(~l ~2><~~c.~r f.1/5'. t ' ~~~ s•••vc~••F - ~___ /r UJ5E11A11 OUf t0. O./1/~S~A]COr6[01rtNCE / }''~ ' E...ww ewr W -~ OUE r0• A NCE OE t 1•r,rwl b•1.eew eewl eee dES/A ~ kl i ` ~~ ~ t EYr OM/E S.Y.Wt/, N iIOEfS--Cewe.s,ey n.r~.,,.ry yer• taA .e• wyy/ y nw p.e. r. rYr 1 ly AytO/Sr /S/.r.f. WAS USE EEEEMED t0 YEO~G~ It ,..~e,1 ERAWNER /i,.r.h lr,r*./ n r ~••-.see~.E.cc•DENi. p!•(pE e. pw/E O/ tN1UEr /Y... a•. r..1 MOUE OE INMr DExEHE IOw EN~Ntr ocaREEt) rOrK•OE .. waE rltrINEO fS,.,.h/ _ ~~s _ _ _ _ v. r ne •+s r. - s,: ~.,w. f+:1e0ER •,• i r.. .tA(E or INnnr-.-ne /s'rsle..., w«.. E..y.r..M~. w+r~.~. EouEtoM sneer of E r.o N. eln of town stArE ,a+ ray: 1Ee " E•. „«.r c»c~s fe•••• ~k.l7E )» 711 II,. _ ~ • ,:elE:oy certlty m-s to oestrus and aorrsa ~ lea~th Rect~Strai s record on file in the St. Lucie County lrrent et fort P~e:~e. Florida. (yyarnina: Not valid unlessa~sed ~sl affixed~• IuKM County Ysahh Osp -. ~~62 1980 DEC -5 Pa 2~ 40 N• D. MILIER, M• 0• btrer - Coun~ Hsafth Officer 6 local Rep -; • ~' r - Q r - - •s!' ~dy local Rpistrwr Osls =:~--- -. FILEC R~1 C FECOnOED SLLUCIECOUNTY.FLA. ROGER I'OITRAS CLERK CIRCUIT COU T 0 }ECCR't ti f ='= 7; - - ~'-t--- _. :•~ f ~ phi ~~ _ .,? ~~n~