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HomeMy WebLinkAbout0622 . • ~ - - ~ . ~ . ' - _ ~ - 4 _ - - _ . ; ~ ~ . , ; . . _ . . - - . i ~0'~~~8 - . , 3~yJ-' ~ , . . - - -------!~-~t . . . . - - - - _ - - . _ CERTtFiCATE OF DEATH ~ i be~ri.oewl .t tk.lll~ .wd Re1~.6+ln.tt.e $e..ke. frATC F~l.c tio. " " avwoet oF ?~sa~n~ F I.O A I D A TrPE, OR /slNi IH ~~~1°'"~~° M'IOI~TNAII•~ r~o. 354 - *[~MAM(N? INK OECE/?SEO-NiWE rioa~ ~~t~ ~I ~A1E Of DEAM ~ roMtw, na~ ~ S[f Yyl00[ !Oi ' ~ Adol h ~ r. - Bohren Atale Jul -7 19'74 RACE wwh. NtOq. ~rent~ n»u~~, AOf-ut~ w+w~ t rue w~eea ~ w~ DA~E Of NR111 ~+.o~+~w, w~. COUNTY Uf DEA1H ' . ~K. Ifsft7R1 NnM~~ ~~Lafl r0~. Ort1 ~WW~ rN. ~rLa1 • . _ i • - 6602 Wlaits 7~ x_ ,reb- 25 1902 St. I.ucie ~ ~OwN. t Ot OtATfi ~••HSf,trt± ~rm 1iOSMTI?t OR OMER NSi - ~x Mw M+ ~nMe~, om ann uo ~wwe~ 1 I - s~ecrcr Tu w wo _ . - ~ i ; - , ~ , Ft. Pierce . ,~Yes Ft. PiercQ Memorial Hospital : ' SIATE OF MR111 ~ M Mot r~ ~.f.~.. NW G112W Of M?1AT CC11~~Tt? MARRjfO, NEVER MA~bED. SI~tlNNO 5~041SE ~r~M. On! ~rM w~~! 1 ~ i 1 cow+.. ~ . - ~ . wborvEII. o ~ wc.,, - ; ~ ~Ne~v Jerse USA a. rLarr~ n. Gsrtrude ` , rwta Wtufte ~tK SfCUR1iY WIMME~ VSUAI OCCVMTION ~o~n ~~+e p~O~c ~aK ~w»a riott M KWO Of M1SWE3S OR tNOUST[Y t u.». w wM ' roa . . occucas w~ ' wv~~.s we. ~rtw r~e~es ~ - ~ - „15~-10-4953 Sales t~lang. . Dairy - ~ s - ~w~MOw. lESIOENGE-STATE C9~Y +C1TY. TOMM. OR IOCATION ' r+Wt tq+r ?r~n STREEi NV . i ~ ~ FlorYda • ~wc n~ w ~o ,w ,w, Lucie ,krt.-.Pierc~ ~Ces ,h 207.7 Sunra.se Blvd. . ~ ~ ~ fAtME~-NAMf - rntt - wow~ ~ ua~ MWTME~-A4AIDEN MM~E ~rs~ auoa~ _ _ uat' . ,s. Ado~ h r. ~ Bohren . - Unavailable _ ~ ( _ 1lMOMtNii-~~NM~ _ NuING ADO~ESS - ~~nnr O~ ~.r.o. w., c'n a sown, s*•n, t~~ . 1. ' IZobext Bohren „~2~09 So 29th St. rt. Piexce Fla.. - ?ARi 1. _ 0[ATN WAS GUSfD ~Y. - ENTEt OHIY QME GUSE lEf lNf FO! ~ ~ ~t 1 lal. Ab ~??+o k)1 awee~ o«sar ue~ w~iM ~ - . N ~ - ~ ''t/~~ ~ t . . • • ; _ - i ~ . ~ i ~ . cowomo¦t. n ~~n } - ~MicM o~r~ us~ ~ '+~a""~7 ~ . ~rr~~ur~ CaVtt te~. iV~ ~O. W ~3 ~ COafe RMCI M~ - . fl~tlti0 tME YMCN- - - . . ~ . . ' - ti~MO C~Ytt L?It . • . . . . . _ . ~ ~ . _ . t~1 . . - . . . ?ART M. O1HE~ SIG1iveC~KE tONDIT10Niy,~awrnw <awwvrwo~ w.m w+ ne~ re~ ro uvu or.e+~ w. ?.+r i a~ - AUiOK~ It YES ren r~»~~MOS ea+- ~ - / ~+~i o~ ~ . a eiirw" ~v+twr..wio uwu - ` - - - - - - _ _ ~ ~~u•-`Ti '1.,ti l.~ IA. 0 H~. ' _ 3 ~ . A~ A ~~p.rw, r, r~•~~ - -~W INxlttl OCCUt[ED ~[wn~ wtwe o~ ~Mrin ~w r~n ~ p rut ~u m. . 1 ~ liOMK~ 04 tJ1~D{TfWMIlD . . . _ . . . . ~ - - !M ' . - ` M. !M. ~ ~ i . i 1liJVRT AT V+fO!tK rlACf Of MJU~Y u no.r. r~~.. srnn, ~~crw~, tOUT10N ~ 1!eetr q~.r.a. ~eo.. cm w rorrw, u~e ~ - ~ ~~rean ns o~ wo ~ owKt weo_. ~x- t wecm ~ - - ` ~ [ ~ - ]M. ' llt. ` lf~. - . - l_ . CERTrtlCJ111Q1i- rowrM wr +w .o.~M swr rw uw uti a?r Nr/w~aiM a+ ~ w/oa.+w iirw na Ot~iN OCCV~eSu Rr nx run, a+ na ~ u ~ f ?Nrs!tuur_ .a+m wr .~w wo+ um ~.u~. ~wa~ wn, u.o. u~e as~ ~ _ ~ ~m.ate mt a~j ~p 1O ~ f W RY [MpY/il00t, eu~.' tt~ ee~e~see ?wr p r I~3 !~k !~c 1?1. tb. ~o wu uwun~ sun~ t ~ CERTIFK1lT1pN-MEOIGt EJWMINER Oli ORONEt~ o.~ n.[ sn d p~ ~~m ! vatt u aw - - + ~ - . - tul~MetlpN 00' TI[ WOt UAIO~ 1M W~'lS~q~ltlpM. M Mf O~M10N. " - - ~JMM - /YT ' RAt I~OW _ - VlI1M OCCi1iM0 P'~ ~MI t4/~ Y~O W! r0 Mt 4Vilfll 71~~f0. ' - ' ~ . • no - ~ m. - x~ - CERitREt- -nM~E mrx oe rnMn A E - ~ uee a rme AT S 0 ~.~w~n~. w?, *w~ ~ ~i. red ornille DID ~ ~ ~'1 ~ 8 - ~ : ~ ~ : _ l~MqtiG 1?OORESS---CEtTK~fR inir o~ r...o ~n w ro~r.~ u~n iv ~ 403 F~ayes p;~ . ~ t. erce Florida ~ - •l~ti, CREMATION, REMOVAI CEhtETERY OR CitF~tATORY-~tM~f TION c~n w~ow+~ st,n - ; ! :,~~~~Bur~al - :nNi1.J.crest Mem.~ Gards. '~t. Pierce, F1Qzida 3 3 ~ OA1E tra+~M, a~r, rw~ fiJNfRAI NOME-NAMf AtiD ADOtESS ~ srnn oe e.r.r. Mo. m o~ To.w, ~ ~ ~ ~ ccl %O / 7 ,sXates Fun2zal Ho~e Inc. 1~~ Box Ft. Pier~e, Fla. t v. s..bi2 ru~u~- ~e1~we-s~c++,~n,a • ~ u~ 9 1974 ~ : j R~v.192o tf~. ~ ~ s.~~~ c ' ~ - ~ - - - • . _ ~ y ' ' ' -s~ ~ ' . ' . ~ . . R _ ~ ' . . . ~ " . _ " ~ i ~ ~ . ~ . . - r FIlEO Ati~~ RECOi~0E0 . ~ . - ` _ ~ ~ . - ST.IUCi~ GJUlttY FIA. i - - . ~,-i , j - . - - ~ ' - ROCcs~ -titTRAS : - c 1 ~i tttb ~o .b~ s Kw and tort~tf o0 of 1t1e lAtel CIERK C;r.r,,~%:T COURt R _ 1~~Y fy PY ZF~pRr Y~L.FflEi~' - ~e _ S Rpbtr~rs racord on filo in tM St. lucie Counry Htelth Dopert- - ~~~~wt~",~~ t~, trwnt •t fort Pifru. Fiorida. . _ . ~ - ~ ~ L~9 QH. ~ ~,~T ~~~~~1 t 'f ; ~ - ~ MAj . (Waining: Not vs~ic! unless raisad ieal af tfi~ St. Luci~ , z, ; t nt~L, , :r ~1- ~ _ • ~ Cdunry Health Departrr~rt is affix~d.) ~ ~ 4 . _ ' - _ 3 - - ~ / ~ F ~ ~s 1 ; _ ~ . _ ~ - N. .p. MILLER, fw. O. - ~ , ~ : ' . ~ _ - ; - ~ : _ ; ' ~ •Hw;ifi Officst 3 Loal Rp3strar . r • ~ Cowrty ~h . ~t~s. . ! , _ t - ri' 'v~r ~ ~ ! . - ~ • ~ ~ • - ' . . . ' f ~9 ~ ~u0, -+,~t k` ~ . ~ ~ . ~ • - ` . , ..~,r;~~s~~;:~~' # 7 _ f~ 4 ~ ~ . . . . ~ ' ~A R~Q~S~fK ~ _ . ~ ' j .i~~ ~ ~ - . ~ . . . - • . . i 'L':; t•J ~S - , , L ~ 11 - ~ : - - - 8ooK239 ~~~E ~ 6 ~ ~ ~ , . . S . . - - . . . . . ~ ? . ~ . ' . " . . . _ - . - . _ . - . _ _ _ _ _ _ ' ' _ . _ ' _ ' ' " _ _ _ _ l . _t_.__ . . . . _ . _ _ . . . - - . " ~ . ' ~ ' . , ~ . - ~ ~ . • . . ' . ' . . " ' _ . _ - _ . . ~ _ ~T~ ._T_ ~ ~-------~---r---^- ------------T-. . . - ~ - -'J . ~ ' = ' : : , . . ~ . .~t~ ~f~_~. . . . . _ . . _ _ _ . ..~i..~..__~_ . .