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HomeMy WebLinkAbout1626~ ~ _ , .. - .-- --... ~- ~...,- - ~ ' ~.. --r..._.. _._. --- -- - ~ . _. . . .- _ _._ .. ..._ _ . ~ ;- • --- ~ ~"'M""'~ CERTIFICATE OF DEA ~ ~ ""n "" M°. _ _-_-- -- w...^:.r w....~...++w~w s.w... ~..uR.;,~ FLORIDA ~~~m~~. S42 rwe wlrw ~ o~aean~+we wa ~uoou wr u~ wn a a.:,~, v,.. a.. e... '' ~~„~„~. ~. 1dILLIE SAMS ,. MALE ~ SEPT.12~ 1979 _ ~ua ~s ua-. ~. w. ~w. .ae-w ~~+rw woe~ ~ n•e won i w• wu a w~a rr.. w.. r..- mwn a a.~N ~ w+~ ~e 1 I1~.whl /-.~- rp~. Np~lfTra4 . ~02 •- NEGRO k 58 ~. ; k; ~Mnrch 17,192~~• SAINT ~~~ un, rown ot WGrpw O~ Oe~n~ iUwut Ct otwta ~r4mutq~~uw NI r•.+a.. w. w.w ~...w./ ~~~os- o~ •~e~ IM1 aN ~~ OrE~w ~• c-esr•~s~...•.. ~~ ~.- FORT PIERCE h. LAWNWOOD I~DICAL CENTER » INp~s ~ sr~n a w~n~ iu.. r nt~rw a w~wr couwnr ~we~~o neva r~uneo. s~ . . srouse ~u ..a. •.. •.~• •...~ n.s.~_.....~...~ w~oo«ed,oivou~o iss.ar.~ ~ u~-..ew«.ce ~ GEORGE •- USA ~d'lARRIED ~~. MARTEL- ST~1n11~$p w~ryr~e. ~~o son.- seaN~n wwn 16W~ OCQI~AI~ONlG« W M w~ /r~ r.ny ~uo a ws~aess o~ ~wus~.. O~ ~N rr ~/ Mr~+I ~F. ww d.w~~11 ~~'*~~,~ ~:. 266-34-0314 ,,.. LABOREA ~». ~ elLpKt-iutt ~ItAt C~t~. ~Ow~+Ot-OGi~Oq ref[r N+0 HuMH~ ~av?e :~~• :~~••s # ia~n.•, t.... ~.~ ~.. FLORIDA ,.SAINT LUCI ,.~. FORT PIERCE ~.~ lOb Hedfotd Drive ~•• no r.n~~-wxc r~at - rwou usr rorMee-.ruwtN w~re r~u~ r.ao~F i•~• ~.. GRADY SAMS ~ ~ LILZSE t,,t~r c~~~r. ' ptqrAtiT-N~NE /I~M r!wr) ~u~+e ~oonu •sneer w e ~ o wo aa w r•~ ~i .•e t~ ` ,~HRS. MARTW- SAMS ~ ~,~. 106 Bedford Drive Ft. Pierce, Fla. ' wa~.~.ae..~oa..nrav.-.onrt~~s,..~,i ~ arere~.oener/.~on-,+we ~ou~~oa c•.c.•o«ti r•-= ~ ~•• . -~ ~• ~ PINE GRONE CEME'1'E~~--- -'-~ ~QgT-p~~.-g~~p -- ~ 111N[4l pf[(T I ~ RRI[4l NDY! ~~ ' ,~,.. SARAfi t~iORIAL CHAPEL 728 ~1ue D Pie~~T 1` ! ~ Mece ~wd du~ ~' c 1 ra~r.! .. rw. M~A ]I~. Ow M~w ~~ rwiw na.~w r 71r~~~//vD~M e- +ra ~ ~ «lv..M M ti .w. us~ r 'I~N fF / + • ~-~y~ ~ j i~e+.~.•- r ~.w~ ~ ~~.~.s~ t ~ ~ `~i.~ s n....~....r r.w.~ ~ ~~~ ~ ~ wtt s~cr+to ir., ~... ~..~ - -- wu~ p ot~rn ---- j ~ osre swrwo ir.. w.. r. i -'w o~ oe.~y - ------ f- ~( • ~ [ / ~: ~ .~ _ ~ y~ ~ / 70c ~~~-- •~/ y ~+ h~ -J ~-1_~ --~ ~. „` ~-- -~ --~ r _ . ~ s~ ~-~ ~-- ' j~ -` ' _ MMf p 1~1TL~NG M~SKIaw 1~ OMl~ ~wW C[fn/1!! I~rn r-~I . '~ MOyOUNC(O Dt~O /M• _ M. I. ~ -~O'Q/<!D CE~J •M.~•. A~ ' 7~1 OM 7~~ •r ~r ` IYY! A/O ~00~!$ CEftltl[t pN1~LCUW. yl01(/~l ti~1N1Nt~1 (TtN ~ MW/ ' , ~ n~-n rN~~~ ~c ~~~~ w. 7 ~ 1. ~1- 7 t t~ f- i- ~~~ ~, ~ f~. ~ 3 Yr~ ; t[G4tW ~~ W te eECtwE~ ~v ~ tirir~• e, r. _ w... ~. . ' ~ ~r ~ ~ y ~ ~ ~ ~, ~ ~ ~ ~ September 18, 1979 t m~w+w~. - - - - -- -- - - 1 a~p~ a~. " rc uu[ tnse~ a.ar orr . u i~i u.e io~ r.C iu. .o i.~ ~- - - --- - -,•~.~..~ w~...• wr ..., ew~ ~rott ~ ~ w .~iY~ ~ ~V'~+~~ ~ l~. ~ 1 a`~~ - Out . q ~ ,,~l ( ~.....w w.»- >-r~ wf ew~. ~ M ~ C.~% ~ ~'S~I ~~~lJ ~~ y / l~ • ; --- - ae . o~ a~ aowa~t oR ~...r.~ s....~ .:.~-..e s.. ~R ~M fl~. R ~MNI~ 1 . ~ ~ ~ • M • ~ IiYf OMffK~11fJW~ ~~~yr4~ ~~w~rw~i~ IM1 .} ( M110~f~/11w~- M~SUSfftsEMtO~OrfDKIt •~ ~, /~f ~(T~~C~~L••Cr~1~~~iW~~ v~oi1~~~~~~/ i fM~.rl l~AYIW~17~~ Iw~r~.. ~1~~ ~ ~iiv I1 V ~s. ~}.1/ ~ .~ ~caara. ~uc,oe r wr~ a suun ir.-. w~r. r..~ wu~ a asuwe Mo~- ~w+n ~. « re ~ n' ~'~~ a-. rn. r s~~ 1-Wf~ Al MQf[ lJ~.r.h 1 n nea a~~^w+-.u ~.... ~,,. ..M. ~+..r. .«+, w+~.r. ~ouna+ sne~r o~ ~ r o N. ur. o. row+, s~.n •A~l ~t /1MJs1 \ a m. ii~b~! CKiMy M1ft b b~ • fftN- Mld COrf+~Cf OOPY ~ tFN LO['A~ ~tegishar s reoord on file in ths St. Lutf~ Counh/ 11~+Mh O~P~h' n~t N FoA P~e~ce, Florida. (Warnin~: Not vaJid unlsss roised sea{ of ths St. lucN County Health Dspa-tment is affixsd.) N. ~. MILLER, M. D. County H~altfi Officer 6 Loc~ Rpistrs~ ~~-~y ~ C~ ~ .~P. al~ ~,pC~~ Qlpitt.~r • ,r~- : ~ ~ •y~~! ., , ~,~~ ' .>~ . , `1 ~ , r : ;'~ ,• : r ~ . '~/>,: e . ~ ~~t~ ~ ~ ; _ ~~~.~3~~ ~-~~~~16~6 i • i s • s..~-- . .... _ .~ ..~.. _..'. . ~_ . ~ -. -~,~ i ~