HomeMy WebLinkAbout2359
CERTIFICATE OE DEATH
FLORIDA
nn
Ea WINE
n.rKilltls
NKf wa
atoll flLOtgCI
wlefe flec[.uo
uvlD a DIAIM
OCCVf/10 m
INf 11Iy11DN GIVE
ItslaNCf ferafe
ADr1E.l10ff
r A•.r
MM CM yr \ f
ley i•J
IYYI D'e •1
(A(/Sf .
SfAt,rti iNl
uNDI lI.1•1.
l AUlt IAS•
tiS r.._ .17.
,e• l e'e IN
elate. OKVS
ie•.• Yull?)
f-NIOtNE-JMYt rift[
1. ax s
fACI -~ • . Y[.•r. flld. AW
v. IMf.. K I Iflw•/f /
. Hhite «
C11 t, IQEIIN Of lOGt/0N d alt
Hobe Sound
~rAI! W «I M / f/ er r
vs 1............,
f 1linois
SO(111 t[(ylllr Iy/Yt[f
Ij -16-6 ?zA
I« emoval remation If,e allaxa rematorY. Inc. 1~ ake o h~_Elorida _
i/.1..\ DI.iClOls1~.,•s...: • - ;y..E..l rK;.11 - Lu ~e Funeral Home
14l ~ ~ ~~~ , ~.~ ~ ~1 ~ Roger L. BYrd Port St.
[coat wE u1 al[cl a.relr.. a.. 1•,
:Male /June 2.1984
-lw4'+•wr bNaf 1 r11f w•Dlf 1 DAr DAII W 4fIN1Y••/N•, 1.1 CfAM/lf W D(Atw
u
7 ~• k .Oct, 6 1 /. artin
!t)yllAl Of 41/rtf INSIIIYIIpN-- rleee fll err..,..., ,... r•..• e•1 «u..l ~i rriSf Ol •••Sf , •. W1-
h Hobe Sound eriatric Vill a ~~ t
(IlljfN a 1Mr1 COWifr rA1tIfD. kf V11 rAtfl[D. EIXYIYINEi S.AI/SI /II ••Ir. p• rI•• w••
w1oDw[o. avofc[o /s..1o./
• U.S.A 1. Married 11 Ethel F;Lsie
uSu11 otCUr111oN fl.r• l.•1 .f ..•. 4er L..q l.rQ W f1A1w13f W u.DllS'l1
r ./ •.•l.•l AN....• .I •m..1•
17l Salesman ~• M
dustrial
l[S.D[N([--~t1A1[ CCNNit Clir. tiU'MN CH IOCAIIQN if![f .r.o NuYUf •.. Ui C.'• \"Y'•r
•• .•. 1•. ..• \ .
1~ lorida 1» St. ucie 1.< Port St. ucie 1•+ oresta r Ir•
1A•IQ4 nAn[ f,qt rIDp11 1131 MO'INf Y1~aR •:AYI /Iftr Y,DO.! :.Sr
1: awes otten 1. bel
IN/q /r\•,t-hAYf /-•-. .• I•.u, M1i\I Vf. eDOIl SS Sfffl/ Of f E O f:() C•T1 W IOvm Sil1F :'•
'-• hel otten 1~• loresta r rt
4N111. Cf[r1tION, flllpvll. CT•1[f lrr«.•., Cl Mtlff• Of Cll1lArJfr MME \OCA 1. ;.. Cllr Ct -fj'AN St•:f
i t If.
' . •M .. er ry Yle~i• Nr. e. ry r+v. eer eM yn. • a•'.1 M •. ev
te«N.I INNq
an s,crifo/v..• e... 1•.f IrDpf o- D[ArN
~~~ >a 6 I3o~8o - Ijft - _ i 2 - 3~,or
_~ NArI d Atiff-C~•!. M.31C 11N Ir O•INt r1YN C[lil-\!f ll... +• r..•..
>« _ _ __ n~a _ _ _ _ _ _
NAr[ANO.OpF1SW Clftl/lff llelrSKlAN, rlOKwl lIArlNfp•/•.•.•r••.•r~ _-~
DAi! Y4NIU • V+. N... 1 • r NCiU! C- Df1•M
jl. n~a jfl n/a
j H•Yl,MdfO IN rD' ~.. b.•. 1•.1 -K.'.C+1.••CfG Gf10 ,N..•
,
f l
j"
j
. /Y+ o
a- ~` - __ n
a
M
_.__ Y_.
jj nanvi 1 cean v -~
Ifwlrflf _ p1f[ .[CFI D l• fEGif-A1 r v., Ds.. E• r
r
je ~rl1E~lAif (A,rSI `Ifrnlf /1\/[ Ur[ 1 -fSf I/f 11\f /ll~I.i, Ir1, f\4 /.11 1.-'• .9i .1•~e•n MM•~~f YO~•
fY1 •ol E
_ Oaf s0 Cf AS A CCY41 q,1NCf CE - - _ - .. _ ._ _ _ _ _ _.. _-.__ _ _.. - ~_ 11w-• Ai e•-.•e. s•+r• e+J so•.
I
~ 1
W
_______-_-_____. ___-._._.____ _____ - _ _ _ _____ .______ .__ ._.__1__-_______ _ ____
tl 1 ,.-.
j W! EO. Of AS A Cd6[OW NCF Of -. _ _ _ - .a~ w•..ww e.v ~••a ra•~
1<I '
--- - -
IYE O'•1!I ;IC~ull(Ar11 (O•iOlr.n••S Cw•t•awr<.•.••a..•••••e drM..r-w.••r4•ee ••aowr •..e. +rln1iwl 1u'OfSr /y..r/. wrS `.riE if liNlG iO rfd(A\
N ~ ~ ~ ~ ~~L 1 ~ 7'x''1 f...r .-.I E.!'Mi..F F! r.f...J. -.. .• r.•
C1-~f..~ti•c~•.•.« • S..f ~4.c~ ~ c>>~ _ 1• jl no l?! --- no
:-.,.ow.f AcuDENt. y\-KIOE e• oAll a IN111fr /r., f-.. 1. 1 /A]Uf Ot II1i1Kr Dfxflff IIONI uinif. OCCUIf[o
//GrK,01 e•1,f/W lffrINID lSf.•.h,
j7e 7A jjr r j/1
~NA•h At wW:. !sf••J• /•• /FACE Of o.;W•-1. Ilr+e. /ru•e. wee•. Lc+n' eM<e .1..1.'h. IOUisON - _ ---SpE[r Of f-~ C.IV~ _ _ __ _ C,tr Ot tJA i STA/[ -
_,., 1 .N f,,.1~.1 - I -- -
ape ' p/
'• c`
I hereby certify this to be a true and correct
copy of the Local Registrar's record on file in
the Martin County Health Department in Stuart,
Florida.
(Warning: Not valid unless raised seal of the
Martin County Health Department is affixed.)
Archie McCallister, M.D.
County Health Officer & Local Registrar
'~ ~~ ° /'"~ ' ~:~ Gin ~~ ~-*~~..~/ _
ate ~ Deputy oca Registrar
~9eo oEC ~ i ~+ z s2
510263 S1~UCIE COt1N1Y fLA.
~~t CItILUR OI~T~
AEC~Rn ~'EFIFii ^. --'
X344 P~~358
~~
--_ _