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HomeMy WebLinkAbout19855~~~ st~te ot Florida CERTIFICATE OF DEATH Uep~ulmenl o~ Nea11h and Reh~bililalive Services F L O A I D A KATt -~tt No. ~_ _. • VITAL 8TAT13TIC8 Rtd1iT11A11~{ Ho 28 '' fOtCtwtfO-wwt •m• ~~ ~•~~ yEx OATE W OE~M ~.oM~r, ~•~, .~u~ !vE OR PRINT NOrT0tt.8 : lre~ale , Jsn. 14. 1978 IN ~ 1'~1@IA~ ~~E HMANENT IfIACK INK ~Ct ~n. M~ow. w~K.~ w~«. ~GE-.•u ~~ ~~~•~ ~~~ ~ we CATE 01 N~M ~~M. Nr. COIJNi~ p OEAiM ~~t ~ WCW ~ N~nW~~ itf~~~ wp~ ~ M~! MpM~ I rN. 1l~1 G6Q2 ~ White ,. ?? ,~ ,, ~ July 2,1900 ~. St. LuCle cIT1r. rowH. O~ IOCwTWN Of OE~1N w~ cw. u.~ MOSnTwI OR oTMEe NsinUnW+--~~Mt ~r w. w. uw., am ~~~.~ ..~ .~wa. ~ wecr. .a o~ «o ~~ Ft. Pierce ,, Yea H Lsunxood Medical Ceater D.O.A. _ . STwiE O~ WM ~ w«o~ w ~.~ ~., ~•~•~ CI112[N Oi WNAT CONHft1 MAt~lEO. NEbER MAMfEO. SURVNNG S~WS! ~ M~MI. o~r~ ru~M ww~ ~ w.~ nw1«a , New York ~~m, ~ V~ s~ A• ~~~`1'~@( ~O ~ fncr~ ~ 11 Arthur Morretts - - -.r~~ wcur~ SOCULL 3lCuMT1~ NU~E~ ----- USUAI OCCU-A?qN .aa aw~ w.wa ww wMwo rosi a KINO q MlSwlSS O~ M~DYSiltl .~o r N~w~ woMw~ i~. MM Y q ~ .~~.as ~+ ~...,,w~... ~~. 1` ~f ~f ouse-Wife „ Oxn-Howe ef~a..c~ aww 1? ~1T~~G8~2,5/~B Ib ~•~~~+w~ lES10ENCE-SiAtE COIp+T~- Cttt, fOWN. O! IOCAT~ON M+~ ~~^ ~~+m SttEEi uNd NIJM~E1t ~ ~ ~ wcH. .~- w w ~ ,~iex York ,» Nassau ,y Nilliston Park ,~ yes ,N4?3 Nassau Blvd. ~AIqlt-NAMi I~p~ rNp~ Iafl MOIMER-MAb[N N~ME INft ryM! u1~ Geor Muller Mary Bauer ~~ ~s 8e ~. ~wo~-+t_wu~r w-ar+G wooau ~s~au w.,.. .a. un o. a.... ~~•w. ..~ ,h Arthur Morretta „~473 Nassau Blvd.. Williaton Park~ NeM York 11996 ! ~-A!T 1 ` ~wwrwu~~ vnn~r OEAM WAS CAUS~O i~: ~EMEf OMIr O~~ CAUSE -Ef lW( f0! pl 1~1 ~~ kM INOr~W OM1p uN M~M ~'. N wr~~uw cwN ~.~ (~ ~; ~~ ~ a 2~ r~-- . ,~~~ _ COMNt10Mf, ~~ ~Mt. • ~ w~ ~~ ~ ~rwK~ O~q nt~ ~O 1~1 ua~N~tt C~111~ IM. Nlf M. O~ ~- ~ CMqlOI~+K~ d. ~tAtIMO iM YN~~! ~11N0 (~11M l~N ~ ,~' ~A~1 M TI~~ s1~iN~ IONS: Cpy11~OM! (OM~MY~w6 p M~M M MOt M~~h~ t0 C~Y1~ GMM r~ IYt ~ t~l A1~1~IS~ r rES r!N nM~~MOf CON~ ` ~~tf p MO~ OM~'M Nfl~wrw0 GWM y_ ~ ~ ~ \ • H~ n~ Iw -.~e~ w Ol ~ rOMtw. p~. ~~~~ ~ qOU~ NOW IMlUt11 OCCUf~ED ~ lMw~ wNM W~«ivo ~r ~ut ~ u~ut w, mr ~~ ~ IqMK~Ot: OR ~1[WNIEO ~ ~ ~ M !Y IMIURY AT w0~ MwC! O~ Nlu~lr.r ~w.~. ••u. snen. ~,nw.. -Ot~110N ~~ma o~ ~.r.~. .w., ca. w ~ow.. aw ~ .. ~WC~I~ t~f W NO~ ONK~ MO4.,~R ~LKIRI ~~ ~ * CEfTM1CAi10N- +a.+w w• re ~ ra.w~ w. nu ~M I~ft L~r wr/M!~ ~1M OM ~ ao/oy ..o~ .r. re OtwM oCtuMt ~~ w~uu, w wt -wtfKw+: ra.m M~ 1!Y MN ~l~M ~ 1 ` W. ~M. q M Ml~ ~~~Hr~NS tw T~ ~ ~~ 7~ ~ ~..`~ ~ W r~ [r~Or~~oGf. MM H \L tb n~ ~ecuue ~w. ' 7 ~ ~~I~ , / t~~ ~ ~ ~ fl~ ! ~o ae cw~en~ sune. GEtT1iKAT10N-MEWUt EtuNMrE! O~ tO~O~tEt. w m uHS a nr .~ a a.w. 'S•~ Nc~w~ , .. mcee ~e.~ + f~~~~~~0~+ O~ 7wf ~00~ uoi0~ tM ~wqfuc~~p~. w r~ O~~wO~+. rOntw C~~ ~~~~ wOY~ v ~ Of~M OCCUtMO d+ M! O~It ~r0 OtR t0 ~M C~YLHI ttaMO. ~~ ~~ 8 ~~ 05 P~ t'{ M 1i CERililEf-NAME enM w-a.~o----- - SIGNA ~ nn A1E SI~l~O ~~a~~, u~ ,~.H.C. McDer~id M.D~ ~r,- ~`~ ~k ~ ~ MwltK, ~DD~SS-CEfn1Ef s~MO o~ ~~•..o un io~.. / s~•n ~~ Y ta ~~~ 702 N~, ~th ; Street Ft. Pierce - Florida ~3450 ~~pwl. QE~u-tqr+. t[Mpv~~ [E~En OR c~Ewu-TO~r-N~wE tOCwna+ u~ o. ~o... sr.n ~""Removal N~Holy Rood Ceinetery ~, Westbury (Nassau Co. ) Nex York ~ Owit --- ~..o~.*~, w., n.~. --- -~fu-~ERwI MOw~[-w-M[ ~ND ~ODR[SS • swn o~ ~ ~• »o . u•. w ro.~. s~.a. iu ~ POTL St.. Lucie ~ Jan, _ 15,_ 19~8 __~n.AoRer L, PSL ne al H~ae 85~6 S Fed ,~C~ff ~.>. #G12 fU-rERwtD~QER -S+G~+~tUf~tJ '~ I tEG~St~-~+ •ruK - own actwto ~r ~otu aas»~i ~+c..,7/7G +7w -;~/~~!~ J~ _ i/7'~~~_~ tw '~~• y'~`~C c-c~-f C l /lt~ ~:s, ~G" JanuarY 17 ~ 1978 ~ nereby osrtity thi~ to b~ s fru~ end correct copy ot tne ~oco : keg;strar's r~cord on fil~ in th~ St. Luci~ Cou~ty Health Depar~ ~'i ,~''~~-~ ment st Fort Pierc~. HOrid~. :c'`~ j .~ (W~minp: Not vsifd wdws rais~d sul of th~ St. tuci~ ~ . County Ht~lth O~srtrr~M ia ~ffix~d.) . N. D. MIILER, M. O. Countr H th Offiur 8 latd Rpisrra~ i~ ~ ~ /~~~ ~~ ~ o.~. o~w+r ~ ~« • 198t F~B I 6 AM 3~ ~ 4 I ~ ~ ~ _~~~~~~- .. _r _~. .. ~. .,r. __ _ S1~'028 Fa~ti~ R~~ ~; ~~_~~~ ~ . - Sf_LCCff CC~y' r.f : ~. fsOGER FOITftA5 - CLERK ~t::C ::1 C£ l-R' _ ,,, ~ ~• . . BQOK J~~ PAGE 1~p 4 ~. 4. ~=~.';~~ ~