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Home My WebLink About0962 3~'~`; {;;c; ~ ~ ~t RE : FLORENCE M11RI E 11I~lOS , DECEASED . ~ y~ ~ ~ ~o~ ~a -o a~~/.s~ Tlie East 3 feet of Lo~ 12 and the West 59 f~et o~ Lots 13 and 14, Block 1, MARAVII,LA GOLF PARK, as per plat thereof on file in P~at Book 5, page 93 of the public . _ recar.ds of St.. Luci~ Caunty, Florida. , . E` CERTIFICATE OF DEATH • j ~ ~~tprlnKnl ~ ~~t~~lti K~~+~{~i~ll~iirt `tnkt~ ~ ~TAT[ FI1.[ NO. . ~ ~x~nKw~h m.a~m FLORIDA 175 - Tr/E. O~ ?t~Mt ~N ~~a•.nun.~r~~ • REGItTRAR•• NO i M~MAlNMT INII OELI~St~:-rIM~E ~~~~t rroa~ ~~f~ fER OAif OF OfATN ~•o~t~, ~a~, .~.t~ ' : ~ stt ~wowo~ ia - - - . anTwcinrti , FLORCI'CE MARTr AhTOS z FEMALE ~ March 23 , 1975 ; ! t~CE ~~o~o. ..nK.~ wou... AGE-~~f~ v~.r:e ~.u~ u~ou ~ e., ~~tE O~ ~~m+ ~..o..rN. o.,. GO~x~Tr oE~tH ` Ir~ ~{rlt~n• H~tre?r~~~•~f~ rof. a.s wOVrt rH ttat~ ~ ' ~ ; ~ White ' s. 7~ w s. ~rfar. 2~ 1900~,. Shcli~ Lu~ie . ~ 66~)Z CtN. iOMM. O~ IOCAIION O~ OEA1H ~~1~01 C~~ tW~~f HOS~It~I OR O:HER NSfITUl10N-NAMf ~n w+ ~w tmx~. cnt s~N~~ •~o ~wy~~ ~ , ~renn .~ti o~ .ro i n FQxt Pierce Yes Foxt Pierce Memoria~. Hospita~ . . - . w w - ~ STATE Of ~i1TN ~ ~r ..o+ ~ ~ • ~ CITUfN Of w?~~I COUNTlY ~?~~RtEO. NEVEt ~u.' f~EO. ' SURVrvNG SIOVSE ~ y ~~~e. o~+e +.o~~ «w~ ~ _ ' w..n. , ~ q0 EO. ~n'ORCEO ~ vtc~¦ ~ . ` „~~.~.~?b~~« ~ Canada (.1.,~,~ ~ ____i~~_ Maxxiad ,~~__Vernon _Amos_ r .Mre e~c~.~~n S«I~l SEN~IIY MIM?E~ tUSUAI OCCU~Al10N ~c~ve ¦».o o~ ~o~a oa+e ow~»a rosi or KWD Or W~wE1S Ot tNUUS~ft , - ' u.~o r a.rw :~oM~..o ure. c`t-: r ~ar:~eo ~ - . - - - . • °t~°"'°'" p33-20-1986 A ~ Otivn Home ~ ~..,~,~,a..~,~ Hous~wi~fe ~K ' ~e~~o~»c~ aro+~ - - i--- n.sro~ tm ~~..~n Si~EEi ~ND HUMFfi---- ~ ~o+~?fqw. tES~UENCE-St~rE ~ (COUHIr CttT, TOWN. Ot lO:~t~Oer , ~ s.eu~. .n o~ ~.o ~ , ' rlorida St.~ Lucie ~ort Pierce Yes 1202 Pine Avo: _ ~ ?A(HER-MA4( i~~~~ rWOli - 1~51 MOTHER-16t~~OfN NAME ' ~Nf~ +'DM! , N~~ . - ~ ~f John Penn~ Jass3.e ~ Chisohn ' . • - . ~ INfOiM~Pl1-N.UNf ~ . MA~IHG AD~RESS ~Snltt O~ f.~.o. ~+0. C~r• ~or... f~•R. . . : Vernon Amos 1102 Fine Ave. Ft. Pi.e7ce Fla. 33450 : . ~ARi t - arr~~tuu . - pEAp1 W?S CAUSEO ~Y;- ~~ENTfR ON{Y ONF C~VSf I(t lk'lE i01 (o), (bI. A~ (~li un.~tw OMSI~ LMO Of~TM _ . r+ID~~R C~Vf! - . . ~ to, Myocardial infarction hr8. ~ ' ' 6GT7 • w py . - " - ~ . ~ =ywDlt~Orf. er •r• ~ . - ' ~ ' - cw o,v~ „i~ l tel - . _ ..~o~.re uw~ ~o. ' e,i ~o. o. .s , e~~ti~an»ce a - ~ f~.~~.a rr~ ~..oe~ - 1 . . It~VO C~vlt 1~1~ - . _ . ~ . } ' ~ S~~ - y _ ' - ?~~i q QiHER SIG'vMftANi CONDIt10NS (~pnp+f [pnn~u+i..e r0 e~~*~ r+o~ n..~ o,o uvi~ em~ w r.~e ~~a~ --T~Utp?Sr ~ r_~S /INOINO~ COM ' ~ E re ~J• ~~oi~la tr~ D~r1~r~w~MO C~Yl! j ~ - _ c. ~~.~,l.f . o. e,... ~ t'vr i s; ~/t• ~ _ _ ~ r ~~lSC•~. -~C. ; ~ \V Q ~w _ ' . - ' ~ - . ~ ~ . 1?•cMlt CC~ (+t. 'J'C~G! W~-rU~TE~ 4lNi11 ~ r0~~~, o~~_ ~ THCk/f ~NOW INIUl1 OCCURRED ~ IMI~ N~iV:~ M~••~at. ~a~~ ~ O~ r~~i rt~r i~ ~ ~ ; _ ~t ~~E: Ot lN+!~!!ltMINlD ! . ~ _ 1 . ] ~ . - t:0! - - ~7:~ u .7M " - ' 1 ~ . i~•lU~~ AT w't)it - %~.~CE Oi [ia:lr~Y +w~. s~n~r, ~.[*c~•. ~ tOr atiOrr - . sm~~ o~ ~ • o wo . e~•. e~ •u~v. ar,~e • - ~ If~ll~~•titn~•~o~ ~GIr.~~.~ . lv tirK~1~~ i i i _ ~ ?I~ I?.• r . . - ~ - ~ . . i CE~iN~C~FK~?+-- .•o+~+ e~.. ~ ra+*~ e•. .r.. I,~o ~.s• f.• ~a./.t~ •~~.e a+ MO~DM ~+Ot n.l o[~rN Oceveno ruc~. o-. n.~ rM+rr Ca• •1~~ ~00~ ~~rl~ 0~~~ O~~t. iMl. q w.~ ~lf+ ; •NTSKI• Iyr.~r rr~ _ ~7K i ~y+~ n1 ~t ~uOrlt6Gi. D•q 1 ~ ~ 1ta r~et.a•n.~:~.. ~ ~ 57 _~~~~_3__ 23 I_J ~ ~5 71/ - nOt __,7'•,1i~5;"` ~o ~e.~u~i tr~.eo i i - CE~1utUiK+~--µEGKiI E r~?~~i.f~ 02 CCROt~ER o~ ~~t i.+~s o~ .ti o. a.++. oFCeeeN~ ~.as •¦ow.+~c~a r~.n . . t . s _ _ _ _ .~aarnaitv~_Y....~ y~. ~ rv 1a,r...r,r. •v rvn.+W, - . . . ro.c:w - __-__l_ , . _ . . ..~nt~a.~t•.e et~~» nCCW~~r ry. n.e r ~~n o,n ~n t eo 1 23 7 1~~i T1 _ 77~ ~ ~ - . ~ CEihlifi_iii~v[.n.~n.....• - ~ -----~S~,fiii:ici~'----M`:» J'-- ~F•.~~~•~•••; ~ ~r,~iF VC.NFD-~ ~ c.l.-~i~ ~ ` . ' 7~~ Bernard Ds Rv88~_ 1'~~D~---- ,»e_ ~i : 1:1~ I.u!~(J N"f--` • - ~ -.l~ ~ _ L---- ----1"i D - ~ ' ti~li' ~ r-:. 'Irl G~ tOw•~ • ' 7 1 - ; ~ ;;"~~~°t~`. `~rj~ma Vista Boulevard Por~ St ~-L~_ uci~, F Q ida ~'31}.~2 . I - :~•raEtFt~ OR L~EtiI~TOoY -N~ti~I LO.f.AIiON . - ~ ~Ufial. L~FM~t~~. %fM0'~~~ ti•.,~ ~ : ; - ' ~snc~n. ! ; - __Uurial ~ ~7/? Iiillcrest ?~lem. Gard. 7~, Fort_Pierce . _ _Florida - - - ~ - ' O?IE .~~r+'+. v~~. •r~~~ iUNFo~I HOMf--HAM( ~Nil ~MCf55 i+t11+ Oe ~ r o r~0. C~~r oe tO~+v, s•a~~, ~ ~ _ • - ..:i~tarch 26, _1975 ~,s. 1'ates F~uneral ~Iome Box 777 Ft. Pi~rce, Fla. 33hS0 ~ ~ . V~ L. ~F ~1 I~7E~Al , I~ _ ~l~ CI ~ _ ~f~i~~AR-SIGNI~UYf A ~ OATE ~~CI'~ID ~T 10~~1 •~Ci~ ~u{, . tt • v. t o 1 o ts? -c !o,. tto C.C • r,._~ rt~ i'~.aI'ch 2 5~ S1. J/ 5 . _ . . . . ~ . I h~reby oortify thl• ro b~ e trw ~nd cornct copy of ttw L~:e~ , w~~~r~ED - _ . ~ Rpistrers retord on fite in th~ St. ~~cie County H~alth [?~ish- FII.EUC~_ ~•JtiNTY FLA. 333~~~ . _ . . m~W~t ~t fort Pil~ce. Florida. ST' R~ : rRbS RT \ ~ - . ic i1a ` ~ . . ~ t velic! unless raise~i seal uf th~ St. lu~ Cl~~~r = •U,i C~1! . ~ ` `~,1 - . (Warr;. ~y: No _ i . . ~ County He~Hh Oepartment it effizod.) R£C~h--*~° U u` .~oi~~`l'f~ ~ ~ - u ~ ` . ~ - ~ , = : - MA~ y 1~ os ~ - - ~ ~ N. D. MIiIER. M. D. - , : T- ' : Covn ~ Hwlth Offiar 6 l4cet R~qish~r - ~ ~ _ ' - ~ - - ~ ~ • y~~~ [ :f 0~l i' _ ~ , - 3 - - ? ~ _ t~-~-,.ct-~ c~ - _ _ ~i";.• 4 . _ ° "'?t)-~tt1'~S: ~ - pMlr (}e~x~t~? l~c,el R~vistro~ _ ` : I i - - - , - ~ - . - . - : _ _ _ _ U R - ~ _ 80~K23~ FAGf . ~ ~ ~ . - - _ - - = j . : : - ~ . _ MEILL C3RIFFIN JEFFRIES d. LL07D ~ CHARTEREO ~ ~ ' ~ S - ~ P O 80X 1270. FGRT W ERCE, FLORiDA 33450 - TELEPk7NE i305i 464-6200 - .