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HomeMy WebLinkAbout0065 ~~ ••••~~«y 5193b3 CERTIFICATE OF ~EATH Oq.w~... r MaY. ~......r.MN i~n4.. ~ F~ o R ~ o A w•.- ~+••~~m~ tvr~ q N~tit w rwuw~n .,,a ,.,^ 6602 uw.~.tya•~c~ M~t~! aCl~LD urt0 u 0!~*w OC(.Y~~lD ~N i~AitfiiT7G~: ::Y! ~Ort1NON~i id! ~ . ~un Mu +r. ~-- - - - - ~~~~. S7a Ol(10lNI-MM! I~ql W001! ln11 ~. Clara S. M~den f!1 , F~le W~l q OI~IM/Y~. 1~.. ~• 1 , Oct. 6~ 1980 ~ue-. ~. w~... r.s. .ce-wa a•+~... u•ou ~.w u.oa ~ o•. a~e a M~rN ~r.-. w.. -..~ cown a a~a ~• ~ t ~si.s.hl ~ rpS T p~nj NpNf 1 rM6 . W~i ~e _~~ ~ ,~---~ ~ec. 1~ 1914 ,. St. Lucie !__ <n, towN w~ouua+ or w~rw wv~i~- w o~w~ uan-u~an-~+..r ru w..+~... r...~..« w...w.~ u ~oa-. o~ uai iw <.. ow. Q QI/~~IM. ~. UM'~M'~ I f1.../~ 1 LaWnwood Medical Center ,. D '~ O A V i V . C Vi r . . ___ n n --- i,.?i a M~miu,«.. cn~tiN o~ wiw~ car.nr r.u~io. ~vf. n:mio. swv~v~w sraat ni..-.. r~ •.~••••••~ ^ , NeN' ~or"~`t"'"'~ r. U. S. A. ;"~`ta ~rr~`e~ `~"`~.• ~~. MattheN Madden - _--- -- ~-- - 1 _ _ -- --- --- - --- -- - - -_- --- s«~.~ ucwn. w.w~ usw- oca,.•~a.~ a....+r.~.«~ s... ~.w uw a ws~w~ a uraa~n ~.4y Na wr J ~wr~Il „ 089-30-8873 ,,, House-'~e ,~ o~+n xome tfLOE-Kl~LI~I! ~»Florida CQ-~It ~~ St. Lucie C~t11. ItlWN d IOCAiION ,.~ Port St. Lucie IttlT Ar0 l41YM~ ,., 23g S.W. Dabney Dr. INYO! d-r IWff ~s~...n r.. ~.~ .. yes r.nrt~-+Mne ~~ar woo~e w~ ,,. Joseph Lindenmayer ne~-au~aN ~urc ~~aT r~oo~e us~ ,. Clara K~tscher ~~awNt-wrt n,N .• r.w~ ,,, MattheN Madden ~uw wooetat sneer oe ~ r o wo. an oe ~aww sur[ t'- „~ 238 S.W. Dabney Dr.~ Port St. Lucie, Florida 334 2 w,u•i. uer~~wM. arw~~. onte ,s,«.r.~ ,~ Removal~Cremation art~n. w u~wio~--urc ~» Callaxay ~rematory~ Inc. ~ounor+ un oe rowi s~~~c ,~. L~e Worth,' Florida w~..~ anc- ~.~..., -~ ~.. - • !~ • w~u- ~ goger L• BYrd Port St. Ltlcie F~eYal Home ~+. 85].6 $. Fed. N. Port St. Luc1e F`l. 2 w~N M~M ~N. dM~ r~A ~~ ~ w.ae~. ~ ~A W M r r+ ae.rwlJ - . ,,.,,.... ... ~~. z~i,,: . ' j~s a; ~- ~ ,^. ~ ~ 7t~. a. +r Mr~ ~..~..r+. we~« +.w r. r.ti y...r ~w+ ~aynM M M~w~rM ~wA Wc~ W r~+ wMM) M~~ ~. s ~ ~~...........~., ~ n a _ .__ -- ---- - wit swwto ~r.. w.. ~.., ' ~ow a a•n~ ~f ,~. C~'~~ (~ /f j~7 ,~ 6=oOp.M . ~ ~ j~ wu.e o~ .~~ew,w .~(~~r~ ~~ O1M~ bNN CUtU4~ N.~~ .. M+~I '° ,,, n~a _ - w~E swNeo rr.. w,. -..~ ~ ~. n~a =~ nowo~~xeo oe.o r~. ~... r. i r.. ~, n a wu~ o~ otwm ~~ n~a M __ ---- - ria.w~cto wwo {~..•. ~N .~ n~a . 3^ ,~ NaM! wrp ApptESSOf CE~lu~t~ (nnSK~~M. MtOKnt l~Ar~+Eq 17rN «r.rl „ Daniel S. Dennison~ M.D.~ 1038 E. Ocean glvd.~ Stuart~ ~1. 33494 :.rrt~.• ~.;v s ~~. Mw~~ M :.~~ f ~•~ ~~ ~rurFC~'f V1J3! W sT~~M4 ~M! V'DI~:~1•!i VUSE ~~St ~- I!S ~°-- 1~' H.. tro .~•. W~~ Oti :S H... vSi~~ A ac~s*eu w~t ~[curio a rtas~w /r., M. ~• ~ ' i i ~,, ,.,.....,~ '~sc~ ~• ~ rL•,~.:lc,' ,d•.~', ~~ Qctob~r ?j 198p -- :• irreNwte uufE 1-v~~ wn u~e ~~rse ~~R u~e i~i r.a i~~. ~~~ r.i ( I~.rwllr.ww..wa~~ .~, w - ~~sr,:r'7,c ; ~,~,u:,~. - ;,NMCu.mr Q!E IO. O~ AS ~ Cd~StOUFNC[ W ' Yr.d M'~w~ r~M Md d~~ ~ C q o~ c. c... - ~..,~ qsV~1 c i~ yl'`- OyE 10. d AS n C0~4f QIEwYF Of .~~ ~~ ~~ ~ a~ t<~ ~Y1 OMf :K~~iK/~NI CO~O~~q'A CwArr~ c~wc+•-~w.p » d~oM b' ~' .~4'~d ti ~+M N~"'^ Intf 1 W 1~ N•eleNrl wCf~OErA. SiMWE r O~IE O/ ~NAMr ~M... An. I..I MOU~ W i+lAMt ~CrK~Ot.~.uta[T[WUhtO ~y.~.~.~ Jb -' i21- _ _ -. ]7~ __ ' Y r..W~ -/ WO~[ tSi...l. ~.. -~~CF C~ ~~.Mr -Ar ~wi.r. ~. ~*~w~. b~`un ~~•u !~.•~s.f iOC~t~p ..s.~ .,c ~sM..hl _ ». I 771 ~. . S1~lttOf~fO ~+ ~ nereoy csrtity thls to be a true and aornct oopy ot ths l.oca Registrar s record on fila in tfie St. lucie Counry Haalth ~epart- ment at Fort Pierce, Florida. (Werning: No~ velid unless raised seal of the St. luci~ C~unty Ilsalth D~pa~tmer-t is affixed.) - N. D. MILLER, M. D. County Healtfi Off~cer b loc~l Reqbtrs~ .• Q~1~ Oep1AV LOtel RM~~t-rr : 19~ NAR -6 At; I I~ 4 7 51936:3 - n~ e Rkc F~caroEo s s. i acu caui+rY n a. Rf:GEfi POItRAS - C! EFN C1RCt~IT COU t ; • . ~ ~ .. t~ ~~ . - ~ - ~ , . w~s ust ~Ertneo m r[acwt eu~rwc~ rs~.s+. i~.. ~.~ : M n0 ~ 3 _~ ~ GT O! IOwN s••n ~ t k i . , y < < .• •- ~'r 4 ~ : _' ~ ~ a~`rn~~ 3~0 PaGE ~5 w:ors. is....r. )nYYI x ri0_ ww wNnr «axno .•i - ,~i"i .:: i~~ #-: ~~ . ;