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, _- 5~~ ~~ ~ • CERTIfICATE Of DEATH flOR10A M! n~n~~~ p~(tOtNt--rMr1 hNl Y~00:1 .~ff Sla Oaf10~Ot~Mirw.I~.I•J p N~h~ N,,~,,,,,,, ~. ~nces A. Hdrper~ Sr. , plale , F_eb_ 12~ 1981 K.ta ~w uu-. ~ w-.~. a«f. •..i- ~.r a•+,~.. .,wu ,~~ .. ~•.w~ ~ w• w~~ N/ ~ ~~N I~• 14.. 1~ ~~r+.. ~a 1 ~s~.eJ~! ~ ~•. , ~rriS t a.1 w~.q l r,ra ~ k ; 1•MaY 5. igi8 White 62 + cw~~• a w~~. ,. Martin ~ . • - u... ~o+-N u ~aua++ a a.~N .a.v ~u~ o+atw. ~~s~,.,,.,;..: .«-. •,, ... _, . .,. ,.. . ....,....:..~ ~~ .os. w ~~er ~.~.... ow C+.I~w 4..~w~~~ar..lu ~ ~+ 3taart .. Martin Memoi-isl. Hospltal .l„ F3Qer. Rm. ~.~_ ~ - --- ------ ]t~7~0l~:l~r11:..~r ~~'jlht!~MV~I.Ob'tiT~• 4~~~.i0 ~.1Y1~Wf~~(0 r~~~~1~.45Y• !~~JI~.~• ~~...~~.~y~.. {. S ~.... •...! W~:l~~r1J C•~R:\'fD ~~.. ... ~~=~ ., N~ T~ ~ Q ' ~ ~ ~ ~ ' ~ / .~~ ~tS~M . ~ ~ ~H Y81~ ~ . s. fi . ~ S. J ? $ 2 1 ~: ~,-~2T~. . s w~e~to•-us; . eo i~ el• . - - - SG<~•. StC~An~ M~aN~ ~ - - ---------- - - t6u•: Clt~i~sr1N/a«. ~.d.....~ a... ~..,y ~W ol W.~~~lSS G~tiOU~•~~ ~ ~.~~•~~ °~" ~ -, E~.. .~ ,~ 064-1t}-5932 .,. Martin Count~y ~,, Plumbing ~Iy'isPector ' 1 • v~~•,~.p ~ ' __ _'__~_~._ ~lLOcr<I -0tai! CCr/i~r .`_, __ _ -,_T.-___'__ .•. IOWh p~ tO~.~IKri Z~.a aI.L ~..M•:~ ^A.M CIV ur~~S ~SI•..~• 1.~ .. \.r L4cie St id l no Jardain Rd. , 210 N uci~ ~ I port St E . a ~.. or ~y .. ,.~ . , . . ~.. .•~.n~ wwt ~~nr ..~c~at us~ w. +~ w~i v.~t•.• ~....~ ~:es~ ~~oo.t ~~st „ John R. Haj'PeT ,. Maria C. BdYr=es :`~~Oir~y~ r.uN ~Iy.. 1..u • ~\G ~i+W:iS 1'~!f• .N ~ ~? r'~ C~t~ ~A ~O~-H S!N( l~1 ,, Jim Karper ~:18 ?l. G~~~~ ;treet~ Rome~ Ne~+ york 13~+1+~ • . , ~ _-~- ~.'I~AI.C/~W1~~A nY7YAl. ~.'nf\ \1•~ ~.• .IY!'!~• ~1 •_• .. N (.Ir ~ 'G~s'~ S~A1~ i1 ~ • ~'I. ..~M: - ~ ~.. e~oval gurial ,. $ai '~ Rome. (onei~'a Co. ) _ Nex '!crk 1,,. nt reter~ Cem~~ :ery - - - --- ~.P.l~~l OitlC~ -IIIw••• ~ -, '' _ ~ -------- -- ~1:'-f~~t ~A1r1 ~UD7~[ - RoB~=' L. Fyr`~ ~c :'t St. Luc~e Flaneral Home ~ ~` ~ ' ~ ~ "' ~~ Pnr~ S~Lucie• ~1_._."i~Kk S 7i~ Y ' _- _ i -.-.- N-~-- , .. ,~Y..., ~. ... ,.. T ~1 Mt~.~lY. r' w ...~ ~o a~ rY • •• O:v ~V .a.x~ / ,: V ]lo U '~. !•~~i ~ :1 ~~ .. • _eA ~. / ~M s . ••~ N •• w ' t~ MD~fI ~0 _ ' ~ - >+ ~ Y : Y' ~ ~^7 J.t r 'ti <~.M'~ i • ~ ~rMw~ W i1~1 ,..~~~ ~ • II A~M ~ ..r Lyu , ~ ~ ~ ~ ~ ~ .' - '. '_ ~ : ~ ~ ~ - _ _- ' '- - -- ~- - - - - ~ '- - - - ~4~ J~ d1 M c~n aw+torr.. a... i. . T~~N li~ Cf~Tr. ~~, ytl W•.'~.4.. n.., /.1 ) ~ ~o- c~_ - ~J_.~ ~~ i'°. s ~S:'-5 A.M. M ~ ~3 ::e ~a - _~. _ . n~a --- - ~` j ~ :~:A~: •~ fU Gf~D ~ V. t+.. 1. : ~K+~~.~IO E~7 rr...~ ~ AW! W~if[Np+tl. M~3+:~~•. ~~ Gt.y~ 1n~.+C~~7d~l~ ~T.•. ~ pw~ ; ~~7 ~o+ n a :~; ~• li~r •1 Y ~ n~a - - - - ~a ---. " _ w~,.e iw.owtss cr cu• ~,t, ,w:sK~:.:. ~iy~.,~ ~.......t.~ ,~.,...,.-~.,, ~~ .niel . enni:~on, M,I1,, 103~ E. OcF:a~ plv~i.~ Stuar*.~ ~"1. 33i*?~+- ' ~W41aw~ ^~•1 ~ttt•v*o N a~4~S'~•t rv,. w.. ~. ~ covo++~otis :t lti• MMK.~ ~.• ~f \~SI ~. IYVIG.~~~ uuai k~ `Tl1•.1~( tN( K~l~ltl~l~ VJS! 1~.51 fYl1.r. !. ~~S :/• • Q~ '+S I~nn V1i~: 71 ' w' ~F , i_ ~ ' _ . /~ /`~ . •±, `/ )H qv.....~, ~ ~ /, J ~ "~ ~ (_~ :le ~ .~~J`~ ~/''i ' __ .. _ _'. - -- - - ~~L- J~ ~- ~,' '1r~F--i~-~- ~'- - - -- - -~--- -- :~ ~r~e~Ww7! UJS! ` l te.q~ oHt .~.e r ~tS~.1~~ :e•~ /e~~ ....~~. ~•I.•.. ~ ~...na"~»n.w~++rw•oi/fo~ 4 . ~Yl w~ . ~ ~ ~ ~ : ~ ~ ~ :' , . ~ • . / ~ . - _. . - - - - - - ~ - - -- ----- t"_ P.1 •O G~ 4S ~ tGtiSf :.Fric_ G~ .• - . .•o. r~r~..:.~w ~+1 dw~ tYl t',,_ l ~ • ._. _ l_ _ • .- ~ - _ • ~I (-v! 10. O~ U ~(!+b!•~.:•~1 Cf . f • cl ~Yt Oiw)`.4v!~~~`:1•,C~'v:'~^.'.. »~ r •.c.~..Ai.•'S'e s~_ - . . y~ _ . , ~•.. N ~ Irvion+.! a~CCCti~ •y,t:Ct a ?~ •:f r• .•..~7, ~v.. ~.. f. . ~r.r.+ ~ r .•.,~.~~ ~Lb~C•9! w i.'~-0F ~11M~•.~U . ~~.. ~. ~ , . 1 : ti ~ 7!t ,:'~ ~.:t,I.~~YIY'1fl~. .J.. ':. 't . .. ,t. . .... .• r•o1 • . ~.~~ . ~~,\.~ ~ ~< I1lw.•. 7. 1 ~1(~ • 1 ~ 'J l^ ~•~~• .... .. ~:~ y~s ; . •~ .~,. ,..,.. ~.:..~-. .~ t~.. . a'~t=' i I 1 ~ ^ .w. _ _ ~ .__ ~__ __ ~ '•1'.~' M~w~~ s'N''V d~u~ ~+Y~S'+!! if'~i7!7:V Y~J:C~I '~ ~- ~~ •~~~..fs. ~...r.I..~.~.. - ~'~ - - - -Ye' - - ' ~. i~ 'i.w•. --- -- i~~~~ I hereby cerr_ify thi s to t~e a true ~~nd corY•ec t cc~py of ~he Lacal Re~,istr~~'s record on fi~e in the Martin Cnun±-y Nealth Uepartment in Stu~rt, . Flarida. ,, ~_ ~, •~rG",--, (Warning: N~t valid unle4s raised seal o'~ the 't'"~ ~'~ ''/-` Martin County Health Uepartment is affixe~. ) , . .~ ~~~ trf ~~' t Archie McCallister ~ M. D. ~ - County Health Officer h Local ReE,istrar - .. ~r . ; .- s . • - ~ ' - e~~ /~_ ~ 9~/ `~l -~.ci C, f-~ c ~a~ - •' Date Deputy Loca Registrar ~ , ~' S~`~~ ~ N~R ~ t ~ ~r Zs FIIEQ RKC ~~GLKDi:1 SI.LUCIE COUlfi'/.ii A. RC6ER POITR.15 8~~~ P~~24~ CLERK CIRCUtT CfU ~ /~ R"rf,«i: ~ E N.t ~. r~