Loading...
HomeMy WebLinkAbout2078 ~ ~Q8481. . ~ - CERYIFICATE OF DEA7H • ~ ~ Drp~rlwtnl el ~~eellti ~nA Re~.~l~llilallv~ Srnkts. " tTAT[ fll[ NO. ~k . F L O R I D A ~ Ir?~, O! ~t~Nf IN ~ ~'~~~~~~'~`9y - REGIiTRA11 { NO ~ ~ . N~MAMIMi INMI ~CEASED-NM1[ ~~~1• r~ea~ ' t?ft SEl[ DiiE Of OE~TN ~owtr. oa~, rN~~ i s~ N' ~ _ Miller , MaZe ~Ap~il 27 ~ 1975 ~ : .s~wc,a.s Killiaia F. RAC! ~tt. wfOW. ~r1~K~M ~~.s~.r, ?GE-iay~ uwoe~ ~ ~~~t v_~!wa ~ ear OATE O~ ~~t111 ~ro-^r. e~r. Cp~r1T~ Of DEATM - • Itt. 1 f?fCMr ~ ~ ' ~e~n.Da~ ~~l~~31 u01 0~~~ MW1~1 rM il~~ ~ ~ ~ . , xt~ta 55 w , sept. 1, ~9i9 st. Lucie - ~ . 66~2 . CrTY. tOwf~. O~ tOC~t~O?r d DE~ n~soe cm ~rm nOSMI~I OR O'?~f~ NSt~111t~ON-N4h~E ~~•.a~ w~~r«~~. c~.e uwe~ ~w yww~ ~ ~ f.ecn. .u o~ rw • . ~ ~ Ft. Pieras yes 1~ Ft. Pierce tien~orial Hospital ~ t ( STAtE Of ?MM ~n wor ~M V 1 l, M~~~ CITt2EN p wMAI COU~itT AU!l1ED. NEVF~ MARRIED. SUt~NHG S1'OUSE ~•i ~+nt. oNe Wfp~N Wiy 1 4ow~.. ~ w~oowED. olvortE~ ~ vec., ~ ~ Nex York ~ U.S.A. Harri@d Mildred Franklin r~ _ ..~N een.xe ~IAI SECURtTY NUANER VSUAL OCCU~Ai10N ~a.~ aMO or w« oo..~ aw~~.o ••w+ a KlJO Of MISMESS OR INOi15itY . u•to » a~r occwwe n+ . .owno uw. M•~ MntfD ~ . ~MS^w=~.~^~ „060-16-8365~- ~ Retail Merctuint Card & Gift.Store KM««~~ K•~« ` •we1~'o'~ RfSIDENCE-Sf~fE COUMr C~1V, iOWN. O~ IOCATION d+aro~ Cm trm STtfEf ~?~D wUM~E~ ' . i ' t_ • ~s•tcu..rs w ~.o~ , ~w Florida St, Lucie ,k Ft. Pierce yes 212 N. 2nd. Street ~ . fAfM[R-HAMf ~~n~ .roae ~~1~ MO1MEt-AIAIOEM HAME ~ ~ns• +~ecr~ u~r . . ~ . „ ~ ' 11i111am ~ F. Miller „ - Helen Scht+enker 1l~M~plMANi-NAME . MARMlG AOO~EIS _ ~7m1+o~ ~.ro. ~+0. Un M ro.~, s~.n. ir~ - . Mildred Miller ~ 212 N. 2nd. Street _ Ft ~ Pierce Fla. 33450 ' ~ t~ui - . . ...oi~.. ~r~ .t ~ - _ OEAM WAS CAUSED ~Y: (fHif~ OrKt ONF UUSf Ift !M!F fOt (eZ (61. ~?'A (~n ~en~ew p.ntf .w w~m ~ - i _ It r•eeun ?Vll ~ . ~ - ~•i ~p~..~a r„"Q,,,•~.r.,•~ n.Mc.-~~.- - ~ j; , avr . , . w , co~e~no~s. n ~w~c~ oav~ ~~t~ io Ibl ~J1_J~~it ~-.~Cn/~tit ~ d~kl1~(C_r, _ 1 ~ ~rrle~~~~ C~V1t ~e~, . ~ ~ r~_ p~ ~1 ~ CO!+SlOYf+K[ d: - ~ ~ f1~t~r~6 tw~ VMOt~- - ~ / lr~w0 C~vf~ 1~1t 1~ . ~l ~ ~ ~ ~~i ~~1 'C~•t ~~n~l ~~n~{.~..~,! CA~f~.i.~ ! tn ~wn~ ~ n• r~.~~~ :t . 1ART 11 OiMt SK,~+MK~?+i COR~1~5~ ~~~as tann+rm..o ro a~m ~vr.qr atia.te ~o c.vu amw w r4« i ea ~~ST M 1E5 r~~~t nro~wof co.~- ~nf o~ .ro~ s~x~~s ~r are~.~..mo uvw t ' ~ ~ - . O~ Ct~~w . - ~ ~ 111 ~s H~ ~ ~ P~b 1 ~CC~OE O_i A ~ I~pMTN, p~f~ ~l~f 1 FiO~A MO ~I IlIN~• OCCUR~EO O~ IMlYA IN ~~~1 . q r.n n, n;r ~ ' S ~ . MOM fD[: Ot lJWf1ElMiNlD _ - _ . '1 M . " ~ - - 7it M lY ~ _ - ; INl{!~T At M/OtR rLACE OF RiMY.~ wo+a. ra~r. snett, r.ao~+. l6CAT1pN ~ fntn M~ r_e. uo., r~n p~ ~0..., fe•R r . ~ _ ~ fnon 'ef o~ .w~ orr:ct woa.. ~u ~ vec~n ~ ( . ' ~ ~ _ _ ~ 4 -.~f R~ ~ CE[Ii1CAi10N- ra+r. a~ nu ro-ew~ .e.~ •~u •..s ws~ s.~ w.~iww •u+re o.~ WDIDq WI vN~ 1wf Ol~M OCCUNiD n.~ ru~c~. w.~e ~1 3 " ?N~{KIAN: tO ' yP~7w Oa~ TtH ~~~~!l~M. ~rqr~~ O~~t. ArO. /0 ~M M3~ { i .nt»seo nn ~ { " Z 7 7 1 ~ - a ¦.o.uow. ew . t~~ . eu~.seo no. ~ 1n ~ !i~ i 7_~~ n1 t~~ i~lA ~r ro nH c.vsem s+.no. . ~ CElfY1CATlOt~l-A1EDeCAI EYA~K! p! CO[ONEt- p+ n.e ~•s.s er nR Mow or a.m 7[ o~ceve.n ~u rso•~w«cee w.s ~tusa~n0~+ W M q0~ aw0/M M wvtsr!G••~0~+. n+ pe++W. rOM~ - Nr .t•~ - wp,it - - w~n. occw~ro w w~e e~n +..o ou +o nw uvun~ s~+we. - - - ,,,1, - ~r . ~ : ~1G A ~ ~ CE TIiIE~-NAME m?t Ot nwn ~rf~ ~ ~ ~ SlGNATURE ~ m M ~ . ' 3 A Kuddus f-W a~nt w rin~ •fE SK,+~EO ~~*M, o,,,~tu~ 'i ? _ • . . i~ S'~I..~_-.~- 4/~8/75 _ .•~n, w . ~.e r.o. -c..ror~crN s,,, ~ ~"b~`f ~:~fi~.`h~. ~~treet Suite 7, Ft. Pierce ~ Flor~lda ~3450 ~s ~URIA~, CRfMAT1ON, lfMOYAt CEMEiElY O! C-REM1lT~tY-N~h{[ IOCATION t~n o~ tOrr~ tr~ry [ ~ ~ ~~~~Ren+ova? ; Necron Crema~orium Kest Palm Beach, Florida ; OAtE Y~..a.+~, o•.. n+~+ FUNEfA? MOMF-N~41L tNQ AL~(HESS ~~ne~~ o~ ~ r o. wo , ert. o~ ~o i~~~e, t~r ~ Port St Lueie ' f ,w A~Sril 29, 1975 Roger L. PSL Funera Home 851~ S. Fed. Hxy, ; Y. S. 161i 1UNfl?t,qREC70R-S~G Rf tfG15i R-S/GNAfIME, i D~R tttlnt0 ~i tOC~I etGi3i~~¦ ~ - ~ R~v.1910 ~s1 ! ri. ~ ri1. ~l T'11 28 1975 - ~ - it - • • . ~ - - - - ~ ~ . . ~ ~ o ~ i i . { h~nt~y oKtify thb to b~ e touo and cOtr~ct c~opr O~f tFw lrou+l ~ . " , _ ; ; ' Rpittrsrs rect?rd an file tn thi St. luck ~ounty H~sith D~~sA- :';ii~.; ~ i rt1~tf st fort Pi~rce. Florida. - r ~ ~ : =1i.~.? ; - ~ ~ ( V yarnin g: Not va~id unless raised seal of th~ 51. luti~ - ,j ; + Cvtlnty H'~Nh Depa~tment it effixad.) ~ i~ Q~/~ t~ " ' j y- . ~ . . _ ?s-r_ . - i ~ ~ N. o. M i i i~~, n~. r.~ ~ . . ~ . - , - ~ . . - `i . ~ ! f ~ j i ~ ~ ~ ~ ' Cpunt~r..Fi~ltfi Offit~r 6 t~xsl R~qi:tr~r - : ; }.s : 'f ; a t~t 7 ~ ~ ~ . . " _ j - , 4. " . ` ~ ~ 1,, ~ 1%17 ~ ti~s- _ .c ~ ~ ~ ~ c..,n ~-v ~ e~ , ~ ; , _ . ~ ~ , ; ~ p~ D~puty toc~) ~o;SnK ,:.ECO~~ED ~ : ~ F{LELvM'' FLA. ~ 5j.t )~~4TY ~ I _ ~ A~'.= . -.:j~~~ :aT\ ' _ f~~ c " - ~ . . ~ ` ~ ~ , - . _ . , ~ _ : ~ goQx2~9 PACE2074 2o i~3_~" z~ . t , - ~ ~ ~ _ - ~ - f : ~ , ~ i ~ • - ~ ~ ! r - , ~ . - ~ _ i ;