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HomeMy WebLinkAbout0063 ~ . ~ , _ - ` ~ - a~. ~ _ Ic.r~. . ~ , , . ~ ~ ~c~.. .-iFica-~ o: DEAi t-{ ~ ~ ! ' ~.i-•~.m~ 11..1~1, .~d R~6.LitF~.n.r 4~ke. rrxTa r~~c No. _ . t ~ ~K~1~~~~ ~ F+r~„f~ F L O i T 1) . 2 f ~Y?(, f~~ ?~IMI IH , wa~•s~.nuw~fat~n ~ MtMA~tNT IHK lIEG18TpAR•0 NO. ~ ~ ~ 1 1il ~11~100[ F01 D[ClASfO-NM~t r~~~~ rwK~ ~Eri . tOAlf O/ MATN ~ row~., ~ , i ' ~ i ~"~'~T0'~ ~ Stron Jz ~~tale Janu~~ry 18,19~5 ~ RACE vrv~. w~~a0. ~r~~K~K ~w~rl~, AGE-.~~~ ~•,e~~ ~~ta~ v~w~~ ~ oa~ OAtE Ot itllH ~.~O.n.. e~~. C\)l!'~fY W DiAiH ' - - I ~ ~ - frC. t WCmJ ' Nt7+l~T 1~1~~{1 ~+01. } 9+71 Wv~i c~+. 'ta~ 1 - i ob02 ' l~h?-t ~ ~ Ma~ 25,1905 S~int i.i~cie= _ ~••.OM'id. O~ IOCAftOH O[4 M ~vi+ee e.n ~~..n~ ~S1/1A1 O4 O:N[! NSIIIVI~ON^NAM IN NOI ~N I~IrI~. OI~1 I~NI~ ~V ~iW~i~ 1 ~ ~ . ~ frlC~n ~1~ O~'+O - ~ ' . i ; ~ n FoXt Pierce r, Ycs Fort Piei~e ~ie~'ioiial i[os.~ital ~ ~ ;I~I[ d!uM ~~e wp~ v+•, M..~ CIi12EN Of NMAi CC`lMtt11 +~.c~t~tD. n[~•E't w,ti~[0. SWVrve+G S?OVSf i~ r~n.On1 r~ o~w ww ~ tOw~~ W~p WtO.ONQlC[q ~vltr~~ . - ' vfv,~~uei»n , Pennsy~.vania r l).$.~. u. ::i1111EC1 n. \ ~ ~~u.s~e ~ SlY_~cIYC~:_R@C~'C~}/ . i ~ In~~. r e~~s SOC~~I SiCV41Y Ml'Mi[R USVAI Oi:1i?~fiON ~a.1 a..~ O~ ro~a oo+~ or~~.o +0~.` O~ KWp q1 WSv+ESS Ot Ie4VSIiY ~ . ~ . ' OCCWIf! N'f . ~OMOO 111~. A~M N „t~~l~ ~ , - ; ~ • i~ 189~10-6774 Elec~ricia.~? ,,,~i~-unot liospital~ Crie~P~. ~t! M7roN cr1~01 t~n ~~rn/ St~lll ANO HUM~l~ t ~ b". f(S1b[hCR-St~~[ COUNTI . UT O1YTi, Qt 10:~110N ` ~ s.ee,.. j~ o. ro. ~ i u.FlOYllld, i~ti$t. Lucie il,, For~ Yierce ~CS ~ ' , _ _ 09 rmi Avenu e _ i ~ . . )Ai?1(R-N~~MI ~~qt - . - a~Ot~l u~~ ~MOTMER-MUO[NNAMf - . r~Mrl d~l~ - - . ~ or e H. Stron \5r, u Unabi-ainable _ ~ ~ ~ ~ 1?MO~NaNt-MAt=~. - ?u~hu.'G AOOCESS ~n.~~~ o~ ,.o.. <m o~ ro.•r, ?+~n, iri _ . ~ ~l. ~ S r aret Stronr ~n80~ Gmil Ave.,Fort Pierce,,T1.;33450 ` ' iwn - u... 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U .c re•~ l a j s~.n. octvMt~ o~. ~.re ~u c.v~7 ti•. e ~ ~ •~+vaJ U ~ i , - ,r. l.l't-U~~~~'Z- :~~t~ ~ti~Fx / 2-~ .,ltr? / L~r 1_ ~ - ~ ; , CEtt:litt-wAM( m~f o~ ...rn ~ STUi~E r o~ .n~t ~O~~E SM,~~O ~ ~ ~w: ~ . , ~ . ~ ,~.~G ~L~-`• ~ r~ vt- z..' t~.,,lr»-~ ..~-t--a.... ri,k ~=7~' - ~ ?~i ~ ~DOtE S-Cl?~c~rl~ o. e.w un o. ~ ~ • • . ~H l ~ r'~~c(`F` 11 1_ I.~C S i>? i !1 ~ ~ I=T „~,~lrl; 1jI~11 ~~~3 %f ~ . z: • , {W'~l. C~[MA1~ON. tEM~OV1l CEMFII~T Ot C4ixlAlO~Y-M~4tF IOCAT1pN t.n d w~+. t.~ry . ' . ~ 1{II[MI - • . _ ' . . _ . . Rem~val ~,~?Erie Cemetery Cr~mato~a~un =Exie, Pennsy7.van~~._ " - . ~ O~r[ .x~. c.._ .~.i~ . ' U{ NI~AI HOMF-1:4N[ ~r~ ~DC~i51 . ~~.r~. o~ . - o ..o , cn. p~ ~o,..., t,. ~ - s~~50- - . r~, .~~.n.?2~1975 Fort ~ieYCe Ftinera? tione,l06 Se t~.S.l~1,Ft. Pierce,'r'I. V~ S~ ~612 ~IJNE~tt t[QO~--YGNAi•~t[ YiG+SiiA S~GH~(41f O~~i ~ICi~Y1D ~t IOC~4 ~IG~11t~~ . ~.n ivro , lc ~Gi-~.L ~ ` ~:lt. f~ ~ ~ ~i .r;, 1Tanuar~ ~_75 _ . ~ - • _ ~ - ; • - - , - . • ' - ~ f - : ~ FILE~ ~'+=:'~CL~HOEO ~ - { hsr~br artify thl~ fo b~ e trus arki wrrect copy of it~o i.ocnl SL ~UC;C +~~Uk1Y FLA. ~ Ro~f~trers ?ecotd on file in t!~ St. luue County Health ~a~- hr,;s,. .-;;:'Rt,S r. ' rr?s~t.i Fort Qi.~ce, Flo?ide. CLC-_:r'. :t~lTC~!~RT ~ ,r; ; ~ . 3 ~ ' 4 f'' : ~ , : - ^ . , . ~ ' (W~r~ing: Not veiid untess ra~sc-~i sea~ uf Iha St. tuci~ - "j = j - County Ne~hh De~isrtment is affixvd.) ~n G~ ~~.j , _ - ' ~ - aPR Y c. 3 s . _ ~ F N. M~~~ER~ M. Q. ' " % . ` ti r _ _ ~ : Cows~yi H,eafth Offic~r a I R~qisher r~yn~~ 1~4 3 G~~,~"` - ~ t3~ / i) \ *a3 ~ 3 j ' ~ n_ ~ ` - i~ - - ~ ~~`S:,k,~' ~ - i ~ ~ - ~ ~ ~ ~ - ~ ~ ~ ~ 2~ Yri`~~`~v~ ~ ~ . . _ . - ti~j s. ` ~ ~ ~ . . a :s . ` ~ lAU~ 6tea~strer - ~ ~ ~ a • ~ i - _ ~ • - - ' ! - - - = i ' t ' . . _ . ~ , ~r . . 0 R ~tJ~ UJ ~ ; - 60t~.x fAGf ~ .F r ~ . : - , - . ~ i ; ' ' . ~ i ~ . J . . ~