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Home My WebLink About0835 30'~5f ~ ~ , , . ! CERTIFIC:ATE OF DEATW ' , , ; ' lk~liwtwt tk~lll~ ~nd RtF~611M~M~e Grrke~ t'Y/1T[ Pil[ NO. ~ : i ~w.~~x~n cx uF,~i.iu F L O R I D A ` - ! ~~~?E. o. ~~~N~ ~N , ..~..~.h,...a,.eva ' ~ 195 ~ : ' RtO1~T11AR'• FIO. ~ i ~ M~MAlNNT INK i~~~ _ + SlE MA~O~I F01 ~CEASEO-NAM[ ~ ER QAIE OI OfAlli IrOMtw, ~~t, i~~~l ~ ~ ~~1~ , ~E B. E. CARV~R , Fem~.le , March 25, 19~5 ~ _ RACE ~~n. MIOW, ~.~~ic~w nrou~. AGE-~~f~ v.rot~ u«o~~ ~ na~ OAIE OI NRTH ~raww. s~r. COVWiY 01 OEA1M~ • 1 WCUII ~~CJC ~f~] /t!U!1 ~+~OS. Wr! 111W~f ~rw. ~~~170~/ " Jl.• J.lll~..~Q. : Y ~ ~C 02 Clf'Y, TOMM. OR IOCATION pEA 2/ MUOf CIN 1M11y Mp5/(T~l OR O:H(R liSTfNT -N /N ~+07 1M flTwt~, oM 3~4tt i.~ wwrn ~ . ~ snc~~r ~~s o~ Ho , n Ft. Pien.^e Yes r'`t. P? e.rce N1e~nvri.al Hospital ~ S(Att W IrtM ra wor n. v ++•r~ CIT?7fN p W74AT COU~t~+l MARR~tD, NEYER M~UNEO, SWVNNG SFOVSf ..~~e. o~n ww~ wa ~ ~ - FIo~3~a t~.SA `"i04~.4'1°~EO"••~•,~ Joht1 Caxver • - uw,t Mtrt~+ce ~ f-~ ~ IL - ~re~e eea~uo ~ u~.~e. u p+.n, SOC1At SECUbTf NUAMfR USUAI OCCU?A~ION ~ant ~e+o O~ w~~ oO.e~ pyewp wH W KIND pI WSNfSS OR IwOUST~T . - OCC~'M!D w ~"ORW l~M. MH N f((~tt01 ~ ~ „ ~ 264-1~456 Han~ Maker Own Hcme uuetwce kaN •~.r~sro~, ~ESWEN(E-SI~t[ COUtiTY C~T1', iOWN. OR IOCAt10N rNSp~ cm ~wm Si~fET M10 NU/~t~ft Florida ~ St. Lucie F`t. Pierce "•'<"~es 318 N, 16th St. _ 11~ 1 N. t k. 1/1 11~. ~ ~ !AI?IEt-N~M[ r~tyt _ r~opu uir MOl?1(t-AUlp~NN4AlE ~.p~ 'upp~ . uy~ ~ ~ ,s ~ P'brtime-r Bun~~ng ~ Nellie Unavailable, Bunker . t - IM~pRAlANT.-HM/F . . AtARIlC's ADOtESS - ~frqlr G~ ~ ~.o. ~+o, cm a ro+~., ~urr. ir~ - s _ . Alfred ~velling - ,n 318 . N, 16th S~. , Ft. Pi~rce, Florida 33450 , IARf 1. . p(~TM W;:S UUSE~ ~Y, (EHiER ONIY ONE GUSf I'fR IPJE fpR (e). (b). Alyp ~~rq~~w ~.i ~ ~ • eu ~t 11 ?ervi~N o~u~ ~w a~rw + Q " - - _ . ~ - . - ~ ~ ~~y~~ r~~'' ` G`-1 • ~''L- ; E " . . ~ ~ . ~ COMOIIIONl. 1i AMt~ ~ ' ' . ' ~ ~ ~ ; vrM~t!~~oave ~~s~ w (b) / ~ ~..C~• ..t__ 'it1'?~-C,C yi(.~r-~-~-` ~ i-~- - _ ~~r10~~t1 C~Vft ~of,' ~ ~vf~~t/(Aw31WilwCtp: - ~ . ~ ~/~tlMp iN~ VM01f• . ~ _ ` 1 . - tt:MO C~VtI I?;t . - f } i IAtT M. OTHER SIGNifKANt CONDITIOMy, td.ano.~s co.na~~aro ro w~n+ ~~n wor ~ti.r~o rp ~~~H aMN iw r~~ ~~oi AUiOiSt IF YES ~c~~t ~~rs~wo~ co.~- - . t ' - . Itl{ p»O~ u0tet0 ~M Ole~~rlw/Mp fj1yN , j O~ N~tM ~ _ ' ~ IA 0 IH ' ~ ~ ' i?.eDoM 1 ACCIpEH , ~ O ~.awrr, onr, n•~i MpeMt „Ow IN1VIl1' OCCURtEO ~ r+me ~raevre ~usvn ~.e r.e? r oe s.rr re, rrr¦ ~~e ~ . HO~MK~ ~ O~ WClIFlMtNiD . . . - ^ : _ . ~ ?k M. t0! ~ IN1VlY A! WOtK ~ ?UCE Of fdlURY row. frKn. ~+op,, IOCAt10N ~ smn w e.r.~. .ro., Ur. o~ :o+rw. f~~n ~ . 1fHC~?tr ~If Or MOl OMK~ NOO.,IK- IMlC~/'II _ ' ' 1 ' lM 1M ?I~ ' ~ , _ j _ CFtTN1UT10N- r~ ~+i r~•~ ..c.~m o~r ~tu wwe 4st f~r rr/wt~ ~uve a+ ~ ao/oro N0~ v+n wN OIA~M OCCUH[O •r n.1 ?ucr, w nw f S rh~SKU ~~~o~o ~~t t -i0 _ rwrre wr ?ria - i anu ~t~m. ~ v ' e~wu~~ aan. ~..o, ~o mt wfr ; j ~ t~~ orctasee ~ror ~7f~~e.y~ L) Zly~ t ~ / I~1. i'~ a~ 7~~ C : M. ~o me u~uuii~~no ' ~ CER:tl~UitO'H- ~L ExMUr~ER Ot COdON[t e« n.e s•us o~ rwe uov~ or wa:w rwe etcewN~ t+~qw te eue F _ + ` r~•.w~na. a ~(w ~,ro/a rw n+r~s~aa,n~, o. r. o~noa.. •r ~ ~~c~ w~~~ v = : eu~+. oca~+eo w M! o~n u.n ete ro*w c.vstn~ t+~ne U ~f~ 9 ~y L~ = 1 . ~h - ti. J7? ~ c~-, L - . : ~ CERt1f1ER- A1ME ~me oe ru..n S~R ~ - ~ - ` - ) ~ " / ~ . ~ ' t)f f / 7 . / 1 xcr~ncct 0.ltf SiGHfU ~.~a+,n., : / ~ • iL Y ~ 7K / ~ 'Y ~~-•~'J~-' 1k " ~ _ ~ • MAR A RTlfIfR ~ ~ fnt[. o~ ~ r.e tm p rO.+.. ~ r~'~~ ~ ~ , . r~ - - - ' stan t~r r S 5 . - Y ~ -t_ _ 3 ~ ~'V . ; - ~~V~~AI, CREM4 . lFMOYAL CEA~ETFtY OR CREMAtG2Y-Na. - ~O{J~tIQN t~n oe s+.~e ~ 1 SrtC~ry ~ • $~arial Ft. Pierce Canetery - - Ft. Pierce . Florida _ - -CAfE. 1r0'a~w. p~~. ~t~11 lUNF~~I HO1.lE-N~Mf AND ADDtESS s W ~~.D. O CR~ ~ iOwu aTl, - - ,N h 2'~, 1975 , BAIRD FU:~RAI.~ H(~~, ~~~..N. ~th S~. , ~t. ~iercx; -Florida 33450 - - ~ - - y ~612 ~tNEt fCTOR KrNA1Vf - • ~EG~S -S!('iNAtU[f - OAtE ~fGErvtQ /i IOC~I ~F ~ ¦ - R~v. ~97o rH . ,.<< ~ ~ I ~ f - a-n C?~ ' •.~-~l~ • :w Aprzl l, 1~~~ : - . . . . . . _ _ . ~ ~ .1" : 1~~~ o~rtify tht~ b b~ e trw and cor~ac~ copy of tfw Locn~ . - _ _ ~ ' ihpif~rers r~crd on f~le in ttw St. Lucie Counh? 1~i~alth Def~eA• , ~~~k=::; ' , rt?e~~f N Fot~t Pi~rce. Flo~ida. . _ _ : fILED ~.EGJRRED . • _ , - ~ 5?. LUC ~ _ :.0 =1M1r ftA. ` - ; ~ (yyetniny: i~ot valid unless ra~seci s~a! of th• l~ci~ RQGL~ ftqAS ~ . _ ~ - Geunry Neal~h Department is affixod.) r~EF? L ~;;17 C~U~ R _ _ ~ - ~~r.:t?~ _ '":C^ ~ , , _ , _ . .w ~t - , 1~l. D. MILLER. M. D. ~ MA~ 8 3~ ~H J'~ t ; ~nt~r Hwith Of~icar $ R~~sTror f : .~a ~ ,~c~ ` " : ~ . .a ' ir-. . f . ~'f %r',• .,r 1 ,r t :St~ 1 ~ ' O'~ - 7 'r.. _ . ( /L Q'.,,~~ ~ a~ '~-M'~9"ti^-7 ~ - ' . : i : . . ~ • " _ : ~ p~puty L,ocal Rag~strsr ~ ~ ! , ~ k ~ ; . - _ - ~q i • ~ 3 ~ _ ~ ~ _ _ 3 i. . 1 . , ~ . ' , _ - c - - * ~ ~ i { - j ~ . - ~ i ~ - ~ • . ~ - ~ _ . _ ~ - - - . _ ' ~ F - 3: _ ' - " . . - _ -1 t . ~ _ Q ~i ~ , - - _ ~Q~~(~~ PA6~ . ' . _ ~ - ~ _ - ~ . : - - x - 3 _ . ` .