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HomeMy WebLinkAbout0115 1 5 t9393 CERTIFICATE OF DEA7N I).r..~...~~ d 14,h6 ...1 1:.6,6:iu.n.. ~...w.. •rw~c ntR Ho ------ -- ---------- IM~~~N\\~N ,N,,,~, FLORIDA 9~ ~~~I !1~ •~~N~ IN M~~.~.w~.•.......• . Rff:187R11111 -/O -~~YANIN• ~N^ ..~.. ~~.~ ua Sf^ !O~If W M~m ..ew.. e.., .e.~. MI v.3~a0~ ~M ~+rc~•uo -•.w~ •+~~M~~•+ ,____--------------srl-tat,~ft (srn[4zsi1-w) rrutcx~t rkile ~ r•eb~.z~,ry 12, 1976 ~ , ~~C! ~.~n r~zwa upt~r ~Y:~r, •GI -.~~p~ o~!e~~ . v.• tiwe~~ ~ ~~. -TC~T! d ~NW .rw•r br, ~-"--"'- ... . w~-.. cow~. a a•~N r.. . ~.u~n .o~ 1 ~..~ .w:i T-~;;- .~.., ~ 6602 ' ~i~e N~~ N-- -----',, ~ ~, Jan. 22,1882 l,. St. Iucie - -L-----~-----i -- - - ~~i. iowii. bi CG?~1~cy+Tli bEZlit ~w. i~ ....~ wo~rn~t M O~M~ ~+sinu~ -~ =Ti~W ~ ~.. ... ~.~..~~ e~w ~•«n .r ...a~. ~ NHM~ t~~ M ~O ~ „ Ft. Pierce • ~~,,'Ye.9~ ,~ Ft. Piei-oe Nk~nrial It~pital .. . . "~'~""_~ ~_~ ' '_ f~~lf M W M . r .o~ r ~ ~ ~ , .~r~ Cii~jlN p M/al (pyyt~• _ - -' """ "'~' ^' !-U~~HD Ht~I~ Mu~lD. ~1lfvivN(3 3~01131 ~:.+~. i+~ ui~...r. r iVlt~,ll. te~M~MI **L.~ iW~wtO.Q~N(1tClO~YNr.~ ( ~ ~r.~ u~ww• ~ ~ wr~ • "IYYlOCI n ~ilE'3 ~`TU/~: • ~.~MM(I~N• " " "_" .___'_'_'"__'__~'~'_'__.'"_'__'"'.__',N_'___'__'_`~~~ .I. _"".__~_~"""'__~._~~~ ~..~• + a~w~ fa~~l SI~YMt1 NuW(~ owu acw~na+ ~ V~1 ~W fw ~ow Wr~ Mry rON M T[1ND d M/3M~SS M MOULI~~ OC[~\M~ ~ ~ON~~ ~+~. wIV Y NMy ~ ~ ~ •~~M••~ +~• 016-07-8530-A ,,}~, ~~~w..f~ r.,:r ~~ _j~~ Cl~`~}C ~~1~ F,IE'C~Y'1C ------' -' - • •- •wu.~. ilS~DI-~Ct-fiatt COI-~tt -- - ~ Cltt, tOwN. M IOCAf~ON ~ w~.~~ fw ~rM ~fii!!t ~NU i~U~1i""'_'_""' ~• PI~L~ i ~~~f .t~ M re. ,~ Florida ,~St. Lucie ,,, ~„~ ~Yes ?,~~ G06 S. 17th St. ~~r~r._N~W nn• ww~ ~•~. frptM\_Y~A11NN.~YI .s.• rwr~ uv ., ~~stian M~-~icuch ~,: Juuia Kupiec 1-rO~MUat_MUM r~~K, ~DO~fSf .~.Mn m~.• ro..s. e~ ro..., n.~. ~r. „~ h~nea Ma}cuch ~„~ GG6 S. 171~h St. , Ft. Pierce, Fl. 33450 r•~r ~ o~~rM w~f t.uuv t. ~(Nt~/ O~N- C~Q CAUN II~ lK ~o~ a~. ~: •wv r.r, ..:..o. o.:... :.: ..:~, ~--' ra*r ^i,~ IN /~" ~~S' Y~ l-~Jl/ ~~'v~at-'l C1tX~ / cli ~ C~-4~~~ Cr S.~.a+.lL, ~ tw .v ~ .'.~,.~O.t. .. ..w •~. ...~ ...~ ,d n~ ~•~n..n i~.n ~r.. i~Ti-i.eT~TTf'o~"i~i-e:- ---- - u.ur~ ..~ 1rw~~~ ^~rN 1~~~1 ~~~~ ; .'; j ~ ~ ~ t,' ~ ' J' _' ' ~~~t ^ O1Mt~ S~OqMK~r~t Cd+dtqNS• ao.~.+o~~ a~+~r~e.+~ a~u.. ~w w• w.,.~~ ro a.•u e~n. ...•~.. ~.. iUiO-fi Tv rf S~~a •.~a..~~ co~ ~ ~ti~ M r0~ I 4N~~~ •~ N~~~~.+w~ f~YN S,•ti~~.. I ~~~.~ ~«t\ivi'>> I1- ~_.~ R f r T ~~ ~ e• ~~~~• ~u ~ ~_~ ~ ti -t l ~. r~ ~.--) • pq j iw 1N,ew--~~{-~C~N~lT ~tlt~ ~ 6~~ lJ~ ~~ 1~0+~.. M~, •~.~ r i~~ ~ MOM IN/1!~- O(CU~~fO ~ 1~I~ r~M~ p..hH r~ r~~r . M r~M w, r1~ 1~ 1 Y C~D~, w vdnw»ns ~ 1 ~ ~M ~ ~iw _ ~i's M ~!M INtr~~ At WpR illA(~p MIK~T ~+ M~ •.~~ ~•~~n, r~(.M., If/Cl~fl(IN ~~•~rlr e~ ~ r• W.[~ e~ ~e~r. ~~~A ~ ~~hr.n .~~ N~ N~I ~MK~ MlO.~K ~~M(~n~ I 1t~ 7M 1 ~ CIfTMK~fIhli- rf~~+ ~~• ~~~~ ~O~~r ~~. •~~~ ~+! Uf~ t~~ ~/M~ ~1•.~ OM ~ ~~~~.~ Wr ~4~ tii C~~fY OfCV~~f~ • w.1 ~~~t~ M +Y IM~~'(~~^. 'O ± ~b•1 !~• M~• ~(r~ ~~A~ M~f 1~+nN• P~h ~.M b ~.I ~11~ }~~ !1•~~~~~~n~ (~ t 7 / ~ y~ ~ l(~, KK M r~ ~~4~~~si1. -H ~ ~~j ?~~ t},__~_~_~~~`~~'_~J~f~_ ~ ~~ ~f' '~~/ •~~~ ~^ ,JJ~Y Owif~YN~11~~~'~~ (Htiq~rKw i+tnC~t f GiiidH~ O~ CiHOri~i .... .~~ ~.~.~ o. ti .rv a w.... •~i Nii.:.: J_--'- ' -1--- -- -- - - --_'-' MY_rr~.f ~~ N~~ f~..-r.•-r. M rn r.s. •.mrr.+..~ ..r.~~~y.•o+~. v ~. Nr..o-. ' ~-.•~ ~•. ti.•. .,.....~, c.. ... ~.ti .~. «w .e +.~ ~..~~~~~ ....• 8~ 55 A ~. 2 12 •..7. ~ ~.' r 5 n ~1D / M --- `, CNi~i~~~ _ q~uu! ..:.. o~ :::.:i - ~-'-- ' - ~ -----'- - --• t~a7~iiMi"~ ~--~-- -- ~------~.~ o.. i- '- - `D3i S~a~16 .«,.. 'i:: q:i. n. Ahma~i Rashid Yi D -w_ .; "._,t•_~~,.~: -u i.;-- ~:cr~~t..~ . ' ~-~ 3-'lr. ~_I ~.- '------ ~-- ' ;~~---- ~.~t~IK t ~leri • ..e•...•.~ - -------- -~-- : P~... ----------- - -- r" ,., t,'tYff ~or~;'~i th Sr,r•.ei: ~:,~~ir„~ I~or~: ~Firl'C@ r^Ior~da 33~~k u ~lr~~L C~tMAtltw. p/r(lr~l ~r~~q~r p~ ctlru~q~. ruw i1CN~INr1 f~n M M~~ ~•.n ~ ~•~~w . ,.. Durial ~,~~ Ft. Pierce Canetery ',.. Ft. Pierce Flor~c3a - - - ~ - - ---------- - - - 1 e~i! .+o...+. ~.. ..... " iu~ru Hnut-~uw •.ip,rw+~rc~ .n.n. o:.: ~-;,- -~.: oi:o.. r:.i i::----------- ---- - - -- ----. ~. Fch. 17, 1976 ~~ , RD Fti~TPN. i~?t~: 901 N. 7th SL-. F't. Pi~rce Fl. 33450 ~. S. ~6 U iWf~-l O~i(r -y,w / / nC,~t} ~Y 7c .rur~~i c ~ ~o••~ ncn.w ~. ~ocq ~ri ~fvu ^~~~1~~0 fu •n-.i~~/_I._~ -Yi/~.f~ ~ 1.._/w_Y~~/ii.~/ /_ ~S%.~_r~.. d~~ ~wCnl.r~..~w~i 1] 7A7L 1 h~~ o~tify Mb 1o b~ e trw ~nd cor~~ct coPY of fM Lou+~ R.pl•~-•rs recwd a+ fiie in th~ St. luck Goun~y H~sl~l- O~q~81 m~nt N FoA Pi~-c~. Flo•ida. ly (We~niny: No~ vs~id unless ra~sed sea~ uf th~ St. l~cis Cpunty Hea~~h Department is effix~d.) ~ 519393 : ., ~' . : . ~ "s.' , • .. ,. . ~ ~ ~. KaR -s P:; 2~ ~~ . - -.' . - ~ `~ . " .~~ ,. ~ j ~~~. ~~r~ !KC «COP~E1~ SI.lUC1E CGU'~1Y.f- ~ ROGEi? POII.RAS CIERN C!NCU11 CGUR N. D. MILIER. M. O. p--~:,~ ti.t ;~~:; ~. _ - ~M~ H~rlth Offic~r 6 Inc~sl R~q~t~rar ~ / 7l0 ~~.~f_r•~e Gl ~~~1~'~~~~- p~~ Drpuly l,oul R~a~strst h ,::~ 350 ~~~E 115 . r.~ .- .; - f fi/'`.,I ~ ~ . "~ ~ . %i ~:-;`. •. .~~ • a - . • -,. -