Loading...
HomeMy WebLinkAbout0947 ~ ~1_95i9'~ ~f `'~ ., „~~ ~~~. -- - \ ~`j~a(. S~~'t1~~~4.~ ~~~l::i ~ L.. .- . D A REGI6TRAR ! NO DECfASEC!-H~WE ~r• «~u ~-ti~ ~1 OAIt W Dfw1q .••o..~. o.• ••.~ ~ ~ ;.•PE'N PRIN7 ;, Female >> February 18, 1978_ PHYLLIS M. BLAKELEY , PERMANENT uCE ~K•». r~GW. ~r~~K~w ~.~~.~. eGE-~.s_~! v..o.. ~•p~ uwu ~ o~TE 0/ N~TN ~..oti~w e~~, - BLACK INK -;-_~__~___i ~~~~ ~ ,cOUn~r or OcwTN e,c ~ v~cn. ~ ~~nro~~ ne~~s~ ro~ + w.~ , wauq r. . White ,. 54 w' ; 'k ~~ {. sept.20,1923~~. Martin _ Clry. TO~iVN. W IOCAIIpN d DEAiM ws~oi t~n ~wb NOSNTAI OR OTMER NSTIiUT1ON-NAM ~u uor ~~ ~nw~~. 4n~ stylr ue ..ur~H ~ SHCM~ t/1 O~ MO ,- Stuart ,, Yes ,~Martin N,emorial Iios ital • • -------- --------- ------ -- --- ----- ---- -- ---------p --- ------- ------------- ~ 11A1t OF ~IRTrI . u«o* ~r v s~.~~~~ ~CITITEN 01 W-Ui COUMTR~ wuRKQ -rtvEe w~R~lO. ~SUUVnr~G SrOUSE ~ w rw~ RA~ MOIM wu+~ ~ . cow~a ~ Q OlMO O~ Mttr• ~ , ~.• .~,..~~«. ~ Pennsylvana.a . USA ~„~arrie`c~ ~„ Dale H . Blakeley _ _ _.~.~ ~~~„~o - - -- ---- - ---- - - - - ---- ----- -- ---------. .~:. ,~ o~aa. SOCrwt S[CUt~i11 NUM~E! USUAL OCCU~Ai10r~ w•~e iwe d Wo~~ oo..~ ~ww6 +os~ o~ ' RMO OI N151NESS O~ IMDUSI~Y !. u~~~4 'w ~r~K lN~. WfM t~ ~~1r~~D 1 ~ ~•~~~~~~~~~• ~~~ „19I-12-1724 ~ Iiousewife ;,,~ Own Home ' "'_' 1 ~. ___' ' "_""' ' •~ ofr:1 N~OM ------_-'-~" .r..nfK++ RfS~UENC[-SIAIE ~ iCOUNTY ~cnr. tow-+. oa ~oCwno~+ -} wswi c.~ .rnt St~t[I wNp NUM~ER ~ ~ ~~s~~ar. •ef o~ ..o~~--~ ----~- ~ ~.. !,~ RD 1 ,.~ Penna. ',N Blair ~,k Roaring Spring ' lq111Ft--N~Mf ..__. ~-: .i :c'.' ~xS~~Yw`S-AR.tw"'ia . ~.:.ti :.iii ~Ww~ .~f~ `_-~--_ „ Wilferd D. Gates ,~ . Margaret J. Smeltzer ~r+IO11W~NT---~AME wURwG wDfd1ES5 ~s~a~~ o~ ~ r o«o . cn. a•o~..., sun. ~r~ ,,. Dale H. Blakeley ,n RD 1 Roaring Spring, Pa. 16673 ~II~ ^IY~ N ~ • Y ~~T 4 OEATN WwS UUSED ~~ (eNlu Owrr o~+E uus[ rt~ ir+[ ~~eA tsl a-ao (~/l ~n.uw o.a~~ ~r w.• ~------- - N " ww~a~ri ciwii ~ /1~~ . _ • . ~ / • / . ~ l~l a.~ ~ .7~aJrI • ~_~~ S ~7 ~ G ~ ~"' ' ~ .- L.~:.J < =r~~ --- ~~Oj O~ U iu~¢ ' G!' E co 07 ~ ~' ;- ~ ~ . co~mnorf. ~~ .rr. 1 • ~~ ~/ i ~~ ~ rM~[M a.ve .~u ro 1-1 ~~..~~-7of-~ ~ s` ~ ~ / ~'~._ _" ~ ~~ ----- ~~-- - ---------- ~ t- -- -- -- ~rr~llafe [av)1 ~01. '~_~~ - '~"^ -~-~-1t4 ~ ~I~IIMG ~M~ VM~~~• ~W ~O. «11 ~ COMy/OVfM(f W ~ v' ( \fINO ~~V1! t~~t ~7"'!~, / • /.~~~ ,~~~4V~!=~~~~~ `,l~a~7~~H •~'~~~~A ~~ / ~~~~''7' !~~ _~ ___ ' /l~C ~ wUfO-S~ --T1/ vES ~~q •~•~s.was :t•. -~tt M OTMEII SICsH~iKANi COtdWT10NS: co..awws cpw~w..w q a•r. w~ .w~ yur~o ~o c•~-~ o~.~•. ~.. -ui ~e~ (..es a•w~ '~ ~~a~eo ~. w~~~r~.....e ..n, O~ ~~~~M ~~~ N~ ~ ~w - - I-.~l.-M] 1~•CCK1l41 SU~CIOI Oi .'Vw„ a~ IJ~w. 'rOr/w, Mr, ~t~~~ ~-ql~ MOW IN1Uf'I O~CU~*fG ~ iMry~ w/rM W~wWn ~w r~~r . M ~~~~ ~~ ~ry~ ~~ r:~~uCtq.. OR UrD~Il~IM1N[O ~ M tN~IR- A~ VYORR J- ~1Ii ~~ec~n •~iw..o~ ~~~ ~pI IW1URr.~ ~uw..u.. frera, fua . ~K ~tMC~~ ~ tIX~T~O-+ ~ a~m w~~• +o cm o~ ro~... s~.n ~ `~ ~WV _ CF~[ir~cen0-~- ra+r~ e•. .~•~ ~ ..w~n. o•. .~•~ ! ..o ~ir Mw .r.r«~~ .u.r o.~ ' ~ ao w «o~ .~~~ ~7 OtAtM OCCY~~lU .. r»~ •...r .... . U (7Y ~_ /MtSK11N 7r ~/ ~~fA O~~ h~f ~OO~ • ~MOV~~ O~~! •r~O p,'M ~• yJG ~ ~~flIMMO M~ 7 TO ' I L ~/ L ) (y n W~~ ~r~0'~~~t4~ ~`(rW '~ )1• ctcNS10 nor ~ // ~~/ !I~ ~ lh /"• ~~~ " 7:7 71~ _ 21~ : 15i- M ~O tw~ [~uMN~ ~u~ J } - 1__"_' '_'_"_'__~__`_1'____~-~_~'__ '__~ "'__' ~ ' _'_ "-v+ u - CE4lNK/~1~tN~--Mfc~iCwt El~wMrNEt Ot GORM+E• cr~ ~»~ ~.s~s w~.e row a a•r. ~+~~ e~~~iv... ..+ r~o..ou«cw w~o • e^....~.~.cr. ~. c~e v.e. ...oio~ rw n.v~fr.e•~o.+, ~+ Y1 WM~MI. ; Yf1M M s~. n.~ .n.,• '. ;:';; j;~" r•e..» ~xcwan o•~ .~: o.+~ -..o ow ro n.e e.usr~s~ s~.no f ! ~ - ri~iiiii~i ::. M 1N - - , _ . . . _' "_"'__._'.__-_.--_'____'~'t_~__ _ \~ .: C[RSp,u4.'1+~jM( ~t~H O~ rnwrr ' SKsN~ill~~ ~ _~ _' ~ _. tN<. ~).~l ~~q~ DAIF S~GNlD ~..owr.. ~q~• ~ , /y~ ,1 ~ .!lr~.. ~1~-.~/-Jl•r ~»._~_:_~[~ ~ ~ ~~~ ~ /~- / ~: L ~~~!~7f_ fl_(_t_V •__ ___' '1D _~_ L,, ~~ ^ ~'------• --/ -?,n .o,:« _ -- -------- --t,•~l ,.. I~ A L~~11~ O~ ~~ D M() ~L ~uti.G •,opfess~ tt~rar~~ C. e' ~ ~ /n ~ !.•t 7 r ~ ~ ' ~ t _ lUR~~I, CREtitwllpN. RfMOrAI CEMEiF~r pR CRE~tORr-_N~+~t 10C~~~ u~• e~ w~~ ~~•'~ ~ trlc~n ~ ,~, Removal ,.~Holsinger Cemetery ~,., Bloomfield Township, Penna. ~ ~!i 1%_i ~ nw~F ~ro.+rw. o~r, ~~• "}l~JNEtAI HOMf - H~M- ~f1p ~UMESS ~rnar o. ~• o..o r. o~ ro.. s..r iu ,.. Feb. 19, 1978 ,,, Johns Funeral tiame 961 Co~.orac~o l~ve. Stuart,Fla. 334 a _~ ti ~t.i2 ~fUr+tR~AL/U~R[ -O~S~GN ( ~ QtG~Sit~l~ ~S~GWwhwf , t ~ O~ry ^fcl~rfa ~• ux•i •i~.~-ru~ Hev7176 ~n~ /L_ )~.~_'.;./_'f.l~{r• ~-:~,i~'~/Cl.'<<.-s ~IMb~ ~~~~/~ I hereby certify this to be a true and correct ~ copy of the Local Registrar's record on file in the Martin County Health Department in Stuart, _ • . . Florida. Y~ ~ ' , , ~ •_ '. ' ~ • ,~; ~ - (Warning: Not valid unless raised seal of the ~ ~ Martin County Health Departmen~ is affixed.) ' C ~ • ~' `. a _ . / . ~. - --. •• .. Archie McCallister, M.D. ~" ,~ :' County Health Offi~er & Local Registrar _ ~; ~ ,... ~ -~~ ~ c. . Date Deputy Local.Registrar ~~~~35(l P~~;~ y4fi - ~ . .