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Home My WebLink About0505i ) ~ -- -- - - SS 514418 CERTIFICATE OF DEATH ~~ ~ ,ewwu„s, FtORIDA t"'t f acea~n-w~rE ruw a~n wu ra p~nNt _ M~OOIE Wt ftt w~! Of ot~m ~y.-. b.. r..i w '~" '' ~SIDID3L ~~ ~~ Male ~Jan.18.19~81_ w~cc v~ ucc~ ~. w... wa. ~ct-w a.+dw wo[t i ~e.e ur.ot~ ~ a~ WiI 01 4~M /Y.-. arr. ~•J ~IMIr Of OEAM 6602 ~-M.~...t~,,..~,, n.., ,,,oa , o„a i~--~-,,,-~ MOUlf ~ ~18C1~ ~4 " ~ ~ ~- : ~ June 19' 1916 ~•- St _ ~ ~ _ i _ CII1, IOWN Q! l0(Ai1QN Qi ptAM Iqy1TAl Of OM[t N411N11pN--I~r 11/ r~ ~ wWr. ~ r~~ y rywl li ~IpS~ Q! IAS/ {~w~scw pp• W~tw.. e+. w.•«. ~sr~.. - ~'~ Fnrt Pi er~P ~~ T.awnweod M_di a~ Cenber ~,. Tn a-i n.. sr.re a r~m u~.«. ar~:t~. w wiwr oow»r ~WliEO MEYtt M~lMEC. iwY1VWf YQ4E II/ ~./.. w....r...... . Y3J., r~r ~wrsl M~OONIEa. pVO~CEO !J/w~1~1 ~;;„~~~; •So _ ~~ro~ i_na •~U * S .A . ~o~ Married ~ ~~- Jose~hine Blackwell UvtD Up(AM 74CU-SEq1l~ry-yY~(! {RYAlOGQ1~AlIQNff.w~y~~/...~y~~..y OCMltO w rr ~/ wW y~, ww Y•.rdl [u0 Oi ~4R11+EfS Ot WO~bit+r .~ytt~c~ kw.~ ~t "~"~"'°~'~""` ~66-16-976~ ~} Citrus Packer ~~•- Citrus ~st~ fl3M[NCI-SiAif • ~ CAIl+i~ Cltt. fOW1~0! IOCATION t!f!~ A~O MIM~Et ~LyD! GT~ IW~+S ! isr..~. ~,. ~ ~.. ~M Fl eri da ~+ t_ I,ucie ~« Fort 'Pie.r~e ~~ 1908 Ave_N • ~•• • ~ r•nee--a~nt ~~ar r~oou uu ~rpme~--ruwtN awt rusr r~oat u~s~ , " ~nlph~i~ ~5.~ ~~• ~~ ~easear uuWy~NT-NAY( /1)M.. M~/ IIWG ADO~tfi SM[~ Of ~.f0. !q- Gtr O! IOMM STAIE l:` ~ ,,. Josephine Isaac ~~ 1 QQ$__Ave~ N p`t _ Pi~rc~ ~ Flori_da ~(~ i }u~iw-. f![ru~tqN. ~Erprw-,OM! ~s~rl ~ CEYttEt- Of Citwtp~_~r! WG--qn Gtt p tOw~+ S-wlE ~ . - ~ '~ ~~ Pi n Trov _._m _t _ry ~~ (~~,~ Pi ern~,! 1 e i da~ ~ rwea ~ Y,,..,..., w~a~ More .co,e~as ~ ~~. ~ ~ iw. f `~ ~a r. +r w.r ~. r..w~.. d..+. « r wu w sw r r it~. o, w. ~w~. d wro. . r+- w.~.• sw.+ ~ourra r r.w so~rW wue. M w M.~~ rd dr r+r oMN.1 ~~we. ; ~ w~.~....~ *w ~ f'~ V.~~ s ~ w•w. ^r trr ~ . ~ ~ DATE lY...Ow. 1 .~ ' -- - - ~ --'- ~ ~~ ~ 1011! O~ OEAM ~ MtE SrGNfO/Y~. /r~. ~•.I ICIR Of D4M '-_ ~ ~ ~ ~ z~. 2 0 ~ 2- ~_ ~ r ~ ~~. ---- „~ - - r ~ s= lu~MF Of ~i~FNWhG IMSK~AN ~/ OM~ ~1NN CE~TIhEf /hM ~r I~+~I s Mo.~ov+cEO a.o.r...... ~... ...EO oE~o ir~.~ ~ • F V ~ ~° ]it oN t~. ~r r . ' ~ ~ ~Ev-v-~,~ ', ` . ~ ~n ~T~~ h.~o. 2 ~ ~ C..~ /U~l~yas~•~ ~/t .'~•~';e,t,c~ ~~•' ~cwsrw '- ~ ~ wrt reurvto ~+ aus~w ~r... aa ~•.~ ~ ~,o,.,0,,4 ~H ,~.~...~~ ,~ ~-- /!/_~-~~ ~. January 20, 1981 w.~.ae.ve ~ . ~••`• -. uwEO~wtE ~e.~u o.~r au ~~as~ iu u•c iw u. n~. ~.s a~.~ - ,-- ~~.....~ ~ «....s rr ~ ~' .,,~ . w r .. ~ ' c a ~ c ~ '~ ..~. ro f1 e-'~ S'r ~: C~ aS~.` l~'~~ :•~.e. ..,~~ swun ~w out ro: oe ~t w caaewtNCt oa i~,,,~ ~ ` r,~, u~u[ u~st M ~ ~ - ouE ro. w ws w caacax~+u or. ~ w«~ r «...r r.w rur onK. s~+~s~c~rn Qoao~*w.a-~ ~ N a++++r r ww w~ ,.. ~.r~ r ow rw. + r~tt i w '.uwrsr ~s~w. IIMAS CAS! NfEM~ 10 M[OKAt : ~ a ` ` ' - ~ h. 7 ~i ~ ~ h~ D ~0 7~ r •~ ~.. \ \ 0 ~~ ~ ~ r ~ I WMINEt /flsh Ir ~r X~! _ N %\% V ACCMEM. fIROOE ~r MtE Oi WIU~If /Y.. I y. t..l NOUt Oi WJIRr O[f[!~~! IOw MilU~11 OCQM~tO ~. ~~ M 1IbllffMlM~ lfl~/f/ !1a !1t ac Y 77l 1!f!Nl~7. W~t1 A1 MIOf[ I3~ ln -IAC! Oi MMJff ~% Me,/'M~. wr~. 1~e~r-. ~r Y~/iq, ~IOCATION jT~[R O! Lf.0. M~. diV Ot 1'01Mb AAiE lr 1~ M~ ~.°vswa ~ a' ne. ~ 1981 J~N 2 I ~:~~ ~ ~= 34 514418 ~ ~ nereoy asrtifY thls ro bs e tru~ and aorr~et eoaY of th~ toc~l filEO ~r+c ~: c~rt e 0 .- Registra%s record on f~~e ~n ~~• ~~t° ~~~ H°°~ ~~ S~•~ll~~E COUl1 t Y. f l:.. R~GER POITRA5 ment at Fort P~erce, Floride. CLEP,K CIRCtNT COL'Ri~ (Warning~ P:ot v3~id unless raised seal of the St. luti~ '. ~,,~~ ;•~ _.,~ ,; ., _~ ~___ County k~ealth Uepartment is affixed.) ~ N. D. MILLER. M. O. Gounty hea~th Off~cer d~ Loc~l Rptttw ~, do . ~-~ , ,,e. ~ C,~ ~ ~~ p~puly Loul R~P~stre- ~~ 347 p~~E 5U2 ~. ~~~~~. ~~~~~ ~, r:,~ = _ .