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HomeMy WebLinkAbout2780Y ~ 5158;Z8 P-803 mab ~~~ M.r..~ r~ w w~.r.. r ~11K ~1~~~~iK~ ~ nf Ci~ NWf ~ OKlOlM-1MW H41 ,.. CERTIfICA1'~ OF DEATN flOR10A r~OW1 Wt ~ ftAt~ Mt~ MO _ .. _ . .._ . __._. _ _ ._ _' . _.._ • lOq~ MN ~M. ' ~~ f!• 1 p-If O/ Dl~M~tl~.wy.1..1 .~...~.~ ~: rt!l~q1.E~ E- QQR"E4l1~ ~ _Ma1o-- - 1~~.~2,_-198D -~.a wc ua-. ~. w.r. w~. ~oe-ir -~++w ww~ ~ rw vq~ ~ wr wtt a we~~ ~r.. s... -, i cowrr w p.r~ ~+ w... «c ~ ra~...tiJ ~r..i ~roi-~ii MouiiT-rrj- '-~h~~e ''~ ~ " ~ '~ ! ' _DeC.~,_lsl~ _ ,. MarLin Cltt, fOM~i 0~ ~OfAt10N W 0lAM IOVIUU p OM~ M;IINIrO-~a1r+14 w r Wn, p.e r...~ wI r.MI -~u :10Y d~-At IaLaw OW. OI,lwr. f~ . 1 N~n./d ~ Stuart h Martin Me~oorial tiospital - -- - - ---__ -- -__ ~• ~n~~~ign~_- ~ lr~ll W M~tw/U.r r C~l~llM W wwN coWict YAMIIO NIVl~ YAMIIO. SWVIYING YQAI 14 KN. M Wr+ ~r~l 11l.1. ~r~ rw~rr/ YYIOOiYld.O1VOKl0 /fN~Mr1 ~ ot•°i ~tM sotui~Cti~il4ww~ ~_~a~A•--- ~~--~r~__ u.-- - H@LCI~-lY~ - - -- - -- -- - ;w~eo w usw~ ocar~ian a.« ~r r...~ r.. ~..w ..w a wwv+uc a woutrn ",~f'°".wK 3fi3-07-5632 'wM.«~wW.~.rJ«r.4 ' '~~^K~~~~ '~ ~a.• COlOTI@1 is U. S. ~ ~ ~O" ns~oert~_u~re - - - - ~ ~1MiY UR. qIN~~ pf ~,p(/~IlOM -1ftf~ At~p N1MN(f 1~40E C~t7 II~utS p~•..n r« « ~.~ '~ • ~+ St.l,ucie ~«- Port St. Lucie ~y 1507 Sunshine Avenus ~•• Xg~ ~A~M~-~MM~ 11~{f Y1ppl! WI ih(\ -YA~OtN MAM! II!{t M~OOI! Wt ~s ~p~eS M. Porteous I~. Mabel - '~~~ «rw+uw~-.ure n.n .• n..~ ~wa •oonst s~ne~ w ~ r o. -a. an w~o~n+ uwie :a "~NPIPn i_ PorteoLS ~~ 15Q7 Sunshine Avenue. Port St. Luciew Florida 33d5? •w~ai. <te~u~:a+. urova-. on~et~s~...~.~ dretm w ater-wn-+u~re iourw+ a~r oa aw~ uue '~~u~cial ~~ A~.1 Saints Cemeterv ~« ,Tensen .~~h,~lnrida ""~` °~1101-"~""""' . "'"""' M0"' /1YCOC Fl1NERAL HOME "' ~ ' • ~ N Beach, Florida ~~457 . «s~r. ~ M ~ _ , ?1.. o. ~. M.. .~ . ,.d~«+.wys.~, -. •a«n +..+. ~ f Sy.rr r1 fJ.l • --- ~. ~~• M.~w, dw ob W~~ W diw ~ M w~sW M~vd. --- - ~ _ Isr~.r. ~.t 1.d.~, OAI! /w~ /h/. 1..J 10{M W DIAM T wre s+vao ~r...Oq. Y.I MdA d Ot~M f ~..~-~-~ ~~ ,~. • ~•oo A M ~i :~ - - -- C "'-------- - -- „` --- ----- s ~ u wn ~ o rww etnu~n i n.• rwl \/ )~/~ _~ r~or+arceo a•n r r.. a.. r. ~ r~o-.outieeo oe.o .w...~ Y ~~i, /~ ~ -- ~ -- :~. oa - --------'~. •r ---- --- ~ wu~u .oor w a^nnn ~rs~cun, rtaw nu.rnan nn..• w~ r ~~ ~ichard 0. Penick. M.D.. 2050 N.E.Dixie. Jensen ~each. Florida 33457 nws~ur ~ ,, w~c ~ecE~vto n ~ceurus ir.. s... n, ._;,.,a„s »._~~......,-- ~ ~ ~r , : _ c, :__ ~~,~ t: . _--_--~ _- - -. - -_ - _ _-?' - -_ A~riL 24,_19$4 _ . ~ ,~':.v, ~ ~ ~. ~rr~aw't~y~e Ins[~+.•ir o~[ ~ Susi iU u~a ry M~./ ~~~.i ~ ~ _ .T . ~ _ ~ ~ / ~ u+...d «.« a+~ a.,+. ~ S' t ~ ~ ~ ~~ ~ ^iVlC~It IY~ W / /~i~~~~'Yr/ *1.{''f ~ ~/ ~ ({ 7f~.'"tf~ :~ ti[-(/ ' /~X ,.ie ~.~ ~ ~ _~-! - ~ ----- -- --- ~- •~~t ~~ ~K~. OU[ t0. p AS A C0~4tOUENCE Oi~ +--' "- - '-' -_' .+u;F IAfI / ~, + M'ww~ M'.»w ~w~ M AMw ~ f ---~ DUf p. Ot AS ~ C0~4EOUEKE Oi. -- --. -' -- --- -~ - -- -' i..ti.w~ M.~wn rw• ewe d~aw' ~ a • ' - ~ --- ~ -- ------ ~ ^- ` - ---- rur one~`~,~/`~y KwNr ~tra--c.a.+» w,.1.. r.«.. ti ruT ~ i~: .urarsv ~s.-~.~. w.s c.sLeErenio r., rFUrwi M //~/y /~ ~//~/ ~ r..r..I tawr~rq~IS / 7 ~ ~ ~ ~ ! t t' I~/ ~. ' M~Yr l.r ...~.i Y x_~ „ t~li--~ , ~~1. c ~~ ~v N~ .. oKVf - .St~~T MwreMrl KC~OIM. iMCWI ~. ~ Owi! Of ~NIY~~ IY... A.. -.J MOUt Os /WY!- DEXfHt nOW ~tiMt OCM~ED IIOYK~(. ~. {I-QE/FWMlD l7Nr./rI T7r T7~- ?h. Y 7~d W1N~Y 1t MIO~[ Iap..~. I n -tACE O~ IH/Yf~-A~ I~r.~. ~~.. r.~r~. 1R.~ry. ~NK~ ~.1~. -~~pp-11pN ~ ~' ~_--~'Stt[!f O~ f t D N~ --- U~r p1 tOWN StAI[ .~r.l rt /f~«./~l ` A~ AI. _ ~.. • ~ .~ ~. . _ ., ,: . ;-~ ,: f.~. . " 3 ~ - : ,n~ I her~by certif~ this to be a true and correct , copy of the Local Regi:trar'• record on file in ~,. the Martin County Health Department in Stuart, ~ , Florida. (W~rning : Not valid unlesa raised seal of the Martin County Health Department is affixed.) Archie McCalliater. M.D. County Health Officer ~ Local Registrar ~/~-s/~~ ~ ~~ ~ % ~ , ,, ~1ate ~ Ueputy ca~kegistrar ~ 5158;~y 1981 FE~ -4 A~# ~1= 09 ~ F~.:o ant ~: co~~r- r ° Si.LUCtF 1:CUv'Y.F: ;. ROGFR PGITR<.5 ~~E~K ~;:.::;: ~.-.:~. ~;r 34 . . , .. , . , , ~ ~ B(1!l ~ P.;GE 27~3 OUQNTERYON. OU6HilRiON. PREWITT ! 4UN~HEIM - P O ORAWER B6. STUART. FLORIDA 8~49e •i ' _~ I ~ ~ ,. ~ ~::. _. ~ ~~- .,~ -- -- _a ~- .._ -, ~-: ~--'• .~,~,._:.~.i:.h.-~ ~~~"~. _-^.~.-?'~-~ -,-,;-..~.. -.~ _ . . . ^