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HomeMy WebLinkAbout1233 , ~ ~0'~'~R~4 ~ _ . t. _ . . ~ . ; ; - CERTIFICAT~ OF DEATH ~ ~ ; . ~ I~rArewl ~1 ~Icy11{~ ~wa Rrl~btllf~tF.e ~~iie~ . fiAT~ Flli MO. ' ~ - 0f~1SKYd f)f`IIF:~I.t11 trn, o+~ tRINi 1f1 --~-•~ti~•~ - F L O A I D A 25g ~ N~MAlMNT INK RFOtiTRAR•• NO. ~ fN NA~i00! Fif ASEO-NAME' ~ I~rf~ ~rx~ , ~~f ~X OATE d OfAM ~•a.rw, n?~i ~ wsr~Mrs Chris~.ina M. Posfi~r ,.Fanale , May 9, 1975 ~ t' RnCt •Mm. w~o~o. aW~~t~M ~MOUw.' AC1f-lUt w.oee ~•t.~ v_.wn ~ w~ DATf 0/ ~MiH ~ranw, ~+r. COUPRt OI OEATH ~sg9 ~t IMfCATI ~l~IN~~UII~fI ~rpl.- M~L M01Rf rr+ 71 / 1906;t Jl.• LLLCi~.E: ~ ~ V .L1. _ ~ tfY, IOwN, OR l~0 J~tiQN~p ~A ~N uef~a cm ~w.r1 eq5?ItAI OR O:?1ER NSfRNi IN ~ql IM ~RwH, cne ~n~~~ wwe~ ~ ~ f~tcvn n~ o~ na Ft. Pieroe tJ~i 4202 Oleandex Ave. Ft. Pierce, Fla. ~ . . SiAlt Of ~MiH ~ K wot w ~ f.~., C1fllEH Of W11Ai CQU1lilT MARR~ED, NEVFR MARl~EO, SVRvIVNd SrOUSE tr win, oM ~re ~ : toww.~ D D1~'V D~f?Kr+~ . ~ ~w.~ N~~»~~ ~ Florida ~ , U. S.A. ` „'0~~`rie~ - FYed A. Poster . rmew eec~•we • KNp OF WS~+ESS QR NrDUSm ~ryte. s a•s~ SOC~~?i SfCtMltr M1MitR ~ VSVAI OCCtlIATqN ~an ~~ve ot ~?ua eo+~ awn~o rw~ w M ' ~ CKCVMtO M rWRMO lM~. MN tl f!fl\!D 1 - ~ . ' ' - ~ . ~~f^^^~. u. 264-32-8'759 - House Waf'e OHm tiane 1 etuw~c~ aaM 1~ , aawf tin ~r~n SMET M~O MUMtEi ' ' ~ lES1QENCE-SfATF COIMfY UTIf, tOwN, OR lOCA710N V~rr~~ ~sreun n~ oe wo 1 ~,.Floarida St. Iucie ~k. F`t. Pierce No 4202 Oleander Ave. ~ - /AT/lR--NAM[ r~ar , r~00tf u{t ~ MO7HER-MA~OENNAME rMfr K~Oat - wr - „ Ni~s c. Jaxgens~zi - ~ M. c~,ris~ . I~M~OtM,wt-HAI~+E 1M~tIHG ADORE55 ~smn M~.r.e. wo. cm o+ ro.~+, i~.n, rr~ ~ F'~Ced ti. F0~5ter ' ~n 4202 OledTlde.r AVe. FE. Piexce~ Fla. 33450 . ~ ~ RR~ ! . ?ART L pEATl1 WAS CAUSED ~Y: ' ` ~ ~fNfft Ot~llY ONE C~USE /tR lNF /t)R (c~ (b~ Alrp ~ - ~ ' ~ » uR~Z~~~ , ' , , y" . ~ N - writwywui aw «~ew ' f,~ ~ ~ / . r ~ ~ ~ ~i (_~.~%i l~i'~/: l ` ~lGG :~`~l' ~~'I ~Gt / r' ) (~`lr•. ~ ~ ~8R1 ~ ! " ~ ~ ~ ' - ! ~ . (OwDn10.~/, ~W, \ . . ~ . 1 ~ • . r . . ) ' e I G ~ C ~ ` i. . j wrICM O~r~ ~1{! 10 n) / f - . : I • 1 ~ ~ rYr~W~I! C~Y~! bl, ~ _Y.__1 ! / /i.' / f • • ~ NN f0. O~ ~S ~ CnrflOVlK~ p: ~t~t~NO 1M( yM~p. ~ ~ lTir10 C~Y{~ 1~/t . ' - • ~ - ~ . 1. ~ • 1~1 - _ . : ! IAti A. OTME~ SIGNI~ICAM CONOIIIONS• Cb1MnOr~3 cdaM~uT7.17 10 Ot~M ~yt r0 ~n_ R,~p~o uvN cMw .w ru~ ~ ~oi A1JT0?ST ~ ~ES r~V ?iMS~wo~ tow- ! i/ ~ . ~n~ d Mo~ ke~~ee ~N dtnwn.w~e c~we I - ( - / ~ ~ ' L i~ . ? or ~I~tM ~ ' ~ i ~ H~r l ` IA - Ir~ebey~,~ +~CC~bl?rT-~f ~dF~~ A b~lN~-~ rwrr, e~~, rt~~~ F1~ue HOW INJUEY OCCUR'~EO ~ trm~ w:rw d~Mne. ~w r~n ~ w r•~f n, iR. ~ ?qkK~bt~ 04 6~O~~E~MtrvtD ~ +M _ ~ ~w . ~ M. tw. i - ~ ~NA/tT ~t wOtK K~CE Ot lUU~Y rwe. ~~~r, snen. rat+m. IOCAt10N ~ s*~m c~ ~.r.e. r~o., an aa ro.a, fr?n ~ ~ ~ a?ecm m o~ .a ~ omce Moo.. ra ~ urcar ~ - , . f b'- ' 7M - ~ ' ~ CERtitCAT10N- wo.rtw w• . nu ra+n. oai re•~ ~~+o t~s~ s~w wr./ ~crre ca ~ e wo w~ nrr ~ Ot~M OCCVf~(D•~ n.r rucr. o.i u~t ~ _ ?Mrsec~mr~w~ n~t / TO ' ~ ~y/• 1 `~Oi11 T~:~ ~oo~ +~atM. ~row~ / s.+e. uo, io er ns~ i . tl~ OlC~~SlD ~tOr ~ 1 ~ ~ ! I f • ' ! ' ! ~ O~ ar cr~T+lfof.t. Oxf ~ / 11?.' ~ ~11.. ft1 tl M. ~o w.t twx~f~ st,ne. ' CEtlMK~?TION.-M[OKAt E2~MNF~I COtfN~ER- o.i n.e eas~s o. nK »p~ a a.s, r~t eececr.n raf ' ~ ti?rr~tp.~ M M[ qOT ~~A/Of M w~!)iiG~tv~+, nt r~ p?nOw. ~ ~KtD W~O uoNrn . _ x.~ .~ov~ ~ ~ ~ ~ ~ t / . )`j ~ . r • ! _ o„rw occvr~-, w wn e.n we ow ro nr c.vH~s~ sr.ne. ~ 1h _ - ; ~ . ~ , . ~ m . : f e r , • I'' r - CE~INIER--NAME mM C~ ?nwn----'---'-'---' SKst1A /s - ~j ~ . ~ orciN c+1mU DA E ~K~WEO i~TM. ea•, nNi . ~H J.Ii. I3a~scho. i~I.ll. '_r~'!'f/..:-1;.--;_r.~. ~ _ ~k lJ_ - - . - 1~i.~IIt~JG ~DO~fSS-CE~IirX~. ~ irn ~ o~ ~ ~ o..o i ~ cin`o~ ra+.: - ~ ti•an • ; ~ ~05 D~lnt-;ar~ ~~ver~uc~~ ~ort Pierco Flori.dn 3315~ ( ~URIAI, CtiMAiION, ~[MQVAI CFMETFtr O~ CeFMA~OtY-?t~uNf LpUnpN c,n c~e ro,,,, t,n,~ ~ 1?K~n ~ ~ White Ci C~e F`t . Pierce, Florida - ' ---~~~.a~,---__,__ !~Y~ ~Y DwIF ~..aa*... o.., .~a~ ~ FUMElAt HO14E-r1lA!( APJp AOORfSS ~ a~.re~ oe e.r n. .+o , cm w+o..v, y,~ri, f~, r i ' r+ Ta 6~_ 1975 i..,.~+d Ftiuleral licme 901 N. 7th St. F~. Pierce, Fla. 33450 ' Y• S..1611 RAL~ECTO!-~S~GN~~ ~ ' / RtG~StRAR- ~ O~R ltttrveo tT tOC~_ t[L~lt~~~ ~ ~ - ~ r R~r. 1910 ~ ~ _ ~t•C.{ ~ .•l.E~ rw May 7, 1975 ' - ~ - i ri. t _ ~ _ - _ 1 ~ . - _ ! 1 hKOby wr~ify thh .to b~ e trw and aorr~ct copy of tM loc~l f i l f D~ M~~~ ~ L ~ 0 E 0 _ . R p i tfre~~ recwd o~ fsle in M» St. ltxie Gounry Hte!?fi Ospsrt- ST. LUGf~ -.'~~MTY FtA. ` : acc~ ~ z ~~as ~R,tL :t, , ! tr~t Fort Pirce. Flo?ide. - • '1 ~41SRT - , . C~EP~. \ , i (yVa~ning: Not velid u~fess ~aiseci seai of the St. lVCii - a~~r'~~ `rEf _~k~+~~~ ~~:~J, ` ; . Cpunty Fie~h h Depert::^~enf ia a f fix ~ d.) y,-'.- t - _ ~a~ i~ ~ PH'.15. ~ . ~ - ~ - - _ : - ~ _ N. MIIIER, M. 0. _ ~ - . ~ . ~ rj * t ' ; - County N Ith Qrffia?r 6 4bte1 RsqistrK 3~ / DL' ` L? Y~ ! . U04=~ : s sy'-` ~e ~ _ - ~ ~ ~ ~ ~ ,.7~g•, ~~l~»~'~%._~' - c f.~ ~ ~~_I ~ - . !i . A'Y,~ . ' i< ~ a~ - ~AC~1 R~OiSftif ~.'_F,~`--~:Ul~~~?~ , . a " - . . . . ~ ~ - . ~.•°}s:T'..~ -a•?=j- . ~ ' . ' " . ' . ' •'••~5~~+' - ~ . ;f - ' . ~ . . ' ' . _ . . _ . ' ';i ~ - - . " . . ' . - • 1 _ ,s _ ' ' ' . • . U c ~~VISf . ~ ~ - ' " BOUK ~J~7 PAGf ~ ~ _ - • , . ; . . - - + ~ - - ~ i - - . ~ . . . . . . ~