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HomeMy WebLinkAbout1148 - ..~.___.r ~_~.i~..~ _ __--- ~ --- 5217'~y --- CERTIFlCATE OP DEATH D~pr~~.~ ~f Ik.ld .n~ R~46Ju.n.r Set.kr. (q\'lWiTf fli ili.li 111 ii'AYi Fll[ NO. r..c, o. -n~r ~N •-••-••••.......,o F L O R I D A M~MAN~N1 INK~//''''' R[GIiTAA11~! NO li2 fEI^ ~~40~ ( ~CEwSE4-r~Mt( ~r~~ r«u ••~~ t3tl 'Ow1t Of OEwM ~.o«.., ~•r, .~•~~ ~ ' rri n :~ny.",,."i .1" ~f `•:~~.f' ~i ~t O . UC[ ~+n. w~qo. Wnc.~ .~w.. , AGt-uo ..-n ~ ~.• o+a. ~ e.• O~I[ W WM ~~O.ww. Mr, ~1 : ~' ~k. ~ Wtwt W.y~~ nu~~~ w~ COIMit p DEA1N . rTer-ro ,~ ~ u ~ .... ~ -«~•-~-~ j~O~t,?_S 1918 ,. St ~~uc? ~ 6 V~C m• ~OYMM. O~ l t 0!A ..aw cw. .+.m „O3Mfw- W Ot~ Wi~iYl - ~r ~ w~cr. .~~ w re .o~ w. ~~~. w.~ ~rr~..~ +~..n~ ~ T ~. n r • ~. ~f~ ; ,r~ ~}~^,.."~ ~'~ Pierce T~.C•~prl Fi~ i'Of;^i2 t?_1 . SiwTE d WM ~~ uOt M~ t~., .~y Ut~I[n p wnw~ CQi-.itr wu~+EO. w[v[~ ~we+tD. Sutvn-K. SIOUS! ~+ ~w. ~~n ..+w ..r ~ coww • I wnOOw[D. OrvOattO ~ v~c.. ~ ~w.~ u~.t~ ~ ~.; ~ ~.~ Z.i ~j ~D ~ • ZT , S , ~ - yN Mr~~M• !~ . iu •-arr; a~'1 u ~?mm?, '~.?!~ G~~3 o~s son Nm. . a•. souK uc`udn Mwr~c~ uwu occwwr,o., , a.. .w a.w. .w w.r .n~ ~uo or wsw[ss oe w.o~snr W~ w ~OY~O uN. F~n r~~~y~~ I ..~wo."~°" «?i/i_i~;_ ~F~7 ~s (` m--~~, ~:~~~ r i~s ~37'rlrinr `~ uiwc-Kf-surt cou~+-r ~~ un. rowr.. o~ -ourwr+ ~.« c.. ~ +s ~nctr -aw~t ~ [~ ~~vKrr ~~~ p ~p~' ~h~~l /l~•i ~ ~M.7t ~~~.ni !` ~iN -~ n.,.+. 7; ~wrnt~_ r""^ n iu Yn r; ~~~. a~i (1 ~ ".'sc~ ~- N4'~l nn~ ~~ uM ~MpINf~-MAp(NM~ME ~'U~ r~K~ • W~ ~; ~~l (~ ~ rT"1v~ Cy~ ~~~ rjl Yl'I~l /1 ~~~NA~ MAAYK ADOI(~3 IMM~~ W~~~. w0. C1A O~ 4~+. V~A. ~rl ~h H`.rm'1 T n~ r-~n {s7~ 7= r? .? '~-•n I~' + T);nTnp ^l;~ ~~~G/) , ~ Iwfl 1. DEAM WAS ~AYSEO ~1. • . ;rNra ow~ o..r aux n~ iar ro~ ht n1 •++o r~p •••o•,••• ~~- u... ~ N a' '~~e...~. o.-n .+~ o~... M~ Ci9R D/f~ c f7k~ ES r" ~~. . . ~ :;_...,o.,. ., ... ~, o... .... b n~ ~ ..u:•n u~~~ y, . ~f~t~MO ~~~ ~rw~fF M q• p ~~ ~ (o+MOM+C/ M. •~~w~ C~11N ~~~t f .. - ~.~ fI R rE/~/~%•s~.c f=PCTi c f/F~~z7' D/.S" r`~~F f IVI • 01~~ SKiNYKANT C~'h71I1p~S• GV4tiP~~ (Vw~yN~wO ~O Ma~w ~M ~O~ Muti~ ~O4rM O~w ...u. ~ r~ ~~vi0-1~ ! ~~ ~[S ..~.~ ...e~.~s co.~ ~h~ p r0~ ~ 4N~~D ~~ H~~~~~~~.~0 4rN . /iv a ...,, ir+su) iTct~ot~T'L'w~ wTrbT"N~--~ - ~~ I ~r. ~i ,Ol, u votuu.:iwn •a•••• r•, •~•• ~ ~wua ~ ~ ~ ppw ~Mw~r oCtuuto ~.•m. q,o w ...... .. .... . o. ......, we. .~ ~ • ~MN-/!W //~~ L "' ~ r f C/ N .. ~ r~. ~'t'i9-S 6f/DA'f"/NG .Sc'G~~Fi :ty ~F~ / Ci,i F.(tG/~ 7[ -~KE p ruut~ .o~~ s r~~ .c.o. ' ~OC~f.O.v -S~ ~~nt.n n~ o~ ..o ~ wti ~~o . ~~[ ~non ~ ~ sn~~~ w~ ~~. .o . c.n w q~w_ -r.w ~ F 7/~/~/l!/_= ~ ~ ~a -~l~Rr' SNCP ;~; :Y!/~r ,S//!/~ df' TNE ~'c-l~t.ti~i/~r"s •xv: /i.=i~~i/ CErtuKwrpra- . rwstK~~..~ .W~w ~.r nu ~ ..ow~. ~•• •~.~ ~ .ro u~. u~ .~.~..r~ ~„n Or . M/e~e.Or ..~~ A1i "ut•1w OCCu~t1D . ..~ r.u~. o-. r lO ~Or~~ M• AY f~W~ ~~~~~ N~~ ~ .,...... ~: ~ ,,.o,,., y r .. ._o ~ ~.. n. e.r..w•.w.. ~1n ~:D. .,~ !!/~ o ~ ` . C~ ~tu.~-i~Or+-~+EOK-~ [tw~r+E~MO~ fO~Onfi G: r~~ ~.s.~ M M - !ll• J _ M~O .I f..N ti~ ~r~A„ ~~~ b~ d ~Y W~~ r~/M M ~1~4~• ~OV~ G N~+ !~~ N(fpnt ~~! MrOV+(t~ ~1~• b.. -. _ a_.o... y S-- ~ .p.. ... ..o~. , o.... «~,,.ne a.. ... o~~l ~~ ~ J .... ].a / L ~1 ~(~~- .~~]I~ f //j'~ /•' / ~~ /~ .. ; Jh ,~ .~2 Sr 7 (/ y Cfi~llul. f-H~~-IM~L ~~nry~ W~hr~1 SN:.' Tv1E / t N" ~~ O~ nri~~ ~ 411tF S~ iD ~~r.~r~, a. ~~. :~.__ 1 `-L_Il ~-[ ~7-L~ I IV I L• L~ ~ L /`-~ ~ ;Z~;~ ;~ _ ~~ ~ ti~. ~c~.~, • CC~ :~~ / ! w~akM +~JLR[SS~C(IIjK1 s~~~~~ p~ ~. o w ~~.n wi3 ~ 73• ~ 77~ ~ ~ \ ~•.n p. r ~ . F~t~±•~ ~~~,. ~_~ ..~ F F < - - ~ , .-r w~w. uc.ur~o~+. +c.~ov~- eu.frear o^ eecw.:wr-N.,~ ~ ~oe.tro« on w.o~.. ....c... ) } .,.~, U~I ')~]"? 11 17~~ tT~"'.;~ ~i`^.^ _:C~ '!n--;~+-n,...r iJ~~!~ :. ~1 f"'~~:~i .'.'1..3 3 7•`_`JD • E ~~pw~~. Mt, AYI lUM~AI NO1'~f-N~M[•A/IJ AppIESS ~~~rl~r W~ I•. M.(111 M W~w. -1~r~. f~~ ~ t«" ' 1~ 1~ ~: .. 'I.5.~612 ~IUr.FIi~r~[-.^/',O!- Lny,e ~..,;,. :;~}7 ~.. 7L'1 j%, ,`~'t;, :~jF!rrF'.~~~"~, ~jjl.i(~i N~r. ] ~ ?S~ ' ,'~~~i ~ lF4. =w~-LG++~iJ~f t ~1Ctn 9 O ~ I/ . OAI !O ~1 IOCY ~ ~~ r~-~i ~" • ~: ~ ru u~di^G`i 6~ 4J~7ti 5%~~'709 , n~ooy aortify thi~ to 0o e trw snd corron copy of m~ wc~~ ~apis~-ers record on flle in tFw St. luue County Hoelth ~~Qen- ~'~"',;.' • • ~r-:r:t c• FOA ~i@•Ce, ct~r;.~., ~ ~~E~ ~i7'( 26 ~~: '~ ~rJ T~.~ ' (Warn;ny: Not va~~d unless ra~scd seal uf th~ $f. L~x.i~ . ~ , Cpunty~ Nealth ~epartme~t is afFix~l.) c ~± r;, ~.,[ c. ,~,~.{ E ~• , . ' • ST.t~~f.!i CC~.~-•r.Fia. f~('Gi t~ f CI i?.;:; - N. D. MItIER, M. 0. ..~Ek~ r;~~.. "rl~~1 /,~ ; . ty H~Ith Off~car 3 ~iatr~~' .. . ~ t , _ ~ ~ ~- 3-18- ~ `~ a ~o~,,.. ~ - ,. ~~ QY~1lfy ~,OG~ R~OiSfrsl ~ a L UIOK c)tJ~ t AIi~ ~~