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HomeMy WebLinkAbout2926 i . ~gl 514064 CERTIFICATE Of DEATH ~/ ~p,.,q. FLORIDA ~~nhi~~.. ~ne w~ew~ I oectoE.n-~wrc rusr rioo~e iwsr ~ ua w~t a ouM rr.. a,. r.. i .~.,.,:~.~„ ~. STANLEY JOSEPH SIETZ : Male ~December 29,1980 ~u~uc xi . utt-.. ~. w~... wa. •ct-uu w+,w~ ur+ote ~.tu ,~.oet ~ OM Wit Oi N~M /Y.. e~... r..i town or ourM •..w,....t~rsNW,I ~~••.• - «oS~TOa.i -KwrasTM~~4 . 6602 .. White ~.. b8 ~. ; ~. ; . June 13, 1912 ~.. St. Lucie Gt~. 1pwM pf ~p(/~iqN p1 p(wM I/p3Mt~l q OM~ M61ItU1qN~r.r /I/ w....q~.. M~ r..w r/ rM.~! Ii ~py q~r3t 1~!Yer OW~. a/~~M. a. ~~PO' M~ 131'~~h 1 ~~• Fort Pierce . n Lawnwood Medical Center ~•Inpatient SiAI! d NfM IfI ~r "r CIi~jEN 01 1MM11T ('Oy~/f~~ W~~~(0. NEVl~ MJ1ff1[D. LJ~VIVIN( ypib! III eM. ~ rM~ Wi us ~......~~...,i wwowEO.ono~:co ~s~«o•i ~~ •~y~~ •~ Mi chi aan • U. S. A. ~o Marri ed ~~. Rosemarw Pol Zi n ,~.~.~ ~«~ I~wfD ~i OEAM SOCtA~ SECUf~tt MJM~t~ IRU~I OCM~iION ff.~W ~I w~ 4+~ i..y [DO d~{bMdfS p~~OlbTtt UCCUMtD w ~r ~l ariwl ~/•. ~ew J ~wr.11 ~°~~'K ~ «E ~? 3~(Ig_69~g ~~. Retired Tool Grinder ~~ Auto Industrv .~~u, ~, ~wa-~ce~si•rt mwn an. rwr+w iocwiiSa+ rne~ uo wr~e~ ~~aoe cn. ur~fs L_~~ ~srf.r. ~.... ~.~ ~y Michigan ~• II~yQg ~« Belleville ~~ ~~• ~.n~t.-i+~ue na~ wooiE u~st «on~[^-a~.~aw w~rc aar wooie ust ~s. Wi 11 Ld~ • ' SletZ ~~. ~Y~~i~~~i~~~~.jL~1l~~ ~wW~wNT_wME ihn .~ tiw~ ~`i~wG ~OpfSt 31!!ft Of ~~ O NO C~t~ O~ t ~ St~TE ZV ~h Wm_ .~ Sietz I~~-. 345 Abeto Lanet Port St. ~Lucie, Florida ~9 MM~~t. CfEYwIq~V ~FMOv~~.Oi~~ itre.l.~ CEMlItf* O! ptu~~O~r~a~,4! lOf~iqN Gt~ q IOWN St~it " ~. ~~ Removal /Buri al ~• Mi chi aan Niemori al Cemeter ,i~ F~t Ro~~, Mi chi aan ~ ""` "°'~'""""' • - "'~""°"' "°°"`~A15 Okeechobee Road "' 700~~ HAISLEY-NOBBS FUNER 70o t~ .~y Ow ~~ R. ~ro~4ey.. e~sr ~uv.W w. dsti aro Ma~r r~d Aw ti M 31R Ow M M~+ M• ~v ~ M~k o~ ~csr N...r. ~ io.wtiH ~~e+ee e ~M~ W M~a~ W M• ~ ~ R~M+~r.wnw, - - -~-~ -- si 1iM+"~wn~~ ~ O~iE Lf~+E0/11.. p.. 1..~ MOUt W pl~M ~_'-- = p1~tE WNEp /Ya, /iw. I..i ~DU~ O~ OU~11P'~ > ~ ~~ ~ --- -'~ -- " 3 „. December 30! 19 „~- 1- ~2~..._ y s: ~/.Yt Of ~ttlNO.NG M~SK~IW 1i OtMEt IfMN CE~tlhl~ IirM ~ I~r1 s~ „. INCFO Ot~D /Y... ~1... 1. ! .~ ~. JMCfD DEM ~Nw.~ s '°° „~ «~ DEC ._ 29 •* 1,3D - a " NAMF A~D ~Oq[SS Of Ct~tit~Et (AI'ISIC~Ui, MEDK/~l EilAa~~Mil1 I-~/~ r pwI ~ » Leonard W~,1 ker, M. D..~ Post Offi ce Box 188, Fort Pi erce . Fl ori da 3~ft ~EG~s~u~ ' ~ ~ Wf! ~KErvEO ~ fFfi~SiUf I Yw. On. Y•./ ~~T~ ~. ,,.,.....,~ _ `?~. - -~ ~ ------ --" -D~c~m~~r~, 198a uw~~ - __.. _ w+.0~ wr! ~~~- ~lDt~tt U1lS[ INi[~ O~[I O~[ UY3! i[~ [~r[ iOf ~.~. I~L ~~~ ~•I 1 ~~^~ ~ ~' ~ d~ ~~ Ou E ~~ Mi I s~ wM,~ .! ACUTE MY~CARDIAL INFARCT ~ T~D~~ u•ccr~~~w out io. o~ ~s ~ eaaeou~ne[ o~ ~~.~.~.a ~. «.+. d.a a..r. u„st ~wsi s , ~" ACUTE THROMBOSIS OF LEFT~jRCi1Mi~T.FX ('Q~NARY ARTFRV ~E~ out ro. o~ ~s w ea~aew~NU o~ ~~~ i~HI47 ~ w,~FVI_RF MLTf.TIFOCAT.i.Y STENn.~+T_rj[~ CnR(~NARY ARTFR /Yt OTlyf SIV~~fK/Wt CO~~pI~ONS~-(~wa.ryti ww~w~ ~ Aw~ Y~ w wb~d ~[w~~ ~w~ w-/1~T 1 1N YItOISt /Slw.l~ WASCAfE fEfE~fFD 10 YED~UI p .~..~ ~/ E111W~hIf ff~Jr In.. ~.i x YFS r ~10 p.~b~~ ACG~OINT. SVK~DE M wrc w~-uu~. ir._ a.. r..~ Noue or uwrr oEw~u ~ow wuwr «cw~ro IOMK~OE. M WOt:IfrIMO flMN/1 ' ~ ~VA~'11RAi. a~. ~~ ~x. r t~ ~e ws r..... s». ~ru~r ~t wwa is....~r ~•. ruct d ~eiuar-w. ~w. ~. M.~r~. ~«~«r. ~o. w+rw~. toutwN stet[t O~ t t o. ~. Urt p torr++ f~~T! ,.., ~~» ~a- «•u .e. n~«~hJ n«w OKK \ a. l~i / A ?7~ . ~. ~. t p; nrn o ~T io~+w v7~iN A ' i fiT _~.e.,., ~„t~y ~hM ~o bs e tn~ end aorr~e.+ coP1- d ri++t+o~~I Js11~ I 6 P~; 2= CS - = .ootd on file in tfie St. lucie Gounty Health DspaK" pisrce, Florida. F+~~ p~n[ F: tur~ f ~ sr.~uc~~ ce~~•Y.r;;. ,„ .g~ Not valid unless ra~sed se~~l of the St. l:xi~ R~GER POITRAS Cp~nty VeaUh Departme~i ~S ~~4i~~•~ CLEF.K C13CU!I Cf~~=; nf....`.. ~~-~,..: . ~ j-~ _ N. D. MlllfR. M. o. 514U64 ; Gounty Meaith Off~cer b loc~~ Re9istra~ .~ ' - ~ ,D ,~.,e. .T - ~x ~~~~, i~~ ~~ a4~~ ~~~ D~D~ty Loal R.a1~ . ~ ~v` e~~ 34s P~~~ z~zs