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HomeMy WebLinkAbout2196 . i• 1•-~' ~Z{~ ~"'~,f~ CERTiFICATE 4F DEA'1'H y ~ ~ De^.t~wl .1 tk.1~A .ed~•~.6111~Y1f.~ Se..ke. ' ~nA7~ ~~L! llo. - • } a~~cw oF inwi.n~ _ F L O R I ll R . ~ ; ~ tri~, oi ?~iMt ~n ~ p~MANlMf INK ~•-~m~p ' MC6IRIIAII•~ NO. ~ ~ _ ` ~ ~ fEl W1910b1 1M OECEwiQO~•MAA1E - h~s~ ~ •~y . 1ta D4T! O~ 0!AM ~ •o.vw. ~tM ~ . i ~ ~ „s~~,,,d ~ Mo.tild~ Stout' ,Fe;nale , i~af 13, ~197~F ; ' ~ UC! ~wn. ~mo. ?.~++taw w~~aw, AGE-~?~r wa~~ ~ rt.~ v~e~~ ~ a.• O~tt p I~tM ~.v++, r+~, . ~ ~ ~~t. i wcn~ wn.~ nuf~ n~~ ~ C01MtY O~ !DEAM ~ s Whi te •o~. •o..~ i : . ti ~ _ ~~3 w ~~+pr 1,1921 Mac~tin ± ~ . E ~ tOw1r. IS~A~i~i~ A w~ro~ trtr tr~n NDSM/A\ W O:fR! NS~fM - t~ +~0~ w t*~~, ~~n n~+ w.~wr 1 ' j ~ - vuur n~ o~ .a : ~ r Jott:~on I3oach~ - no_ „1~G1 ti. Indiar? itiv4r Drive ~ ; ~ . ~ ~ StAI! O! NtiM ir wot w r.~.~.. w..~ CIT~iEM p MnuT COtMt~~ k.~t~it~, t+tvE~ hutt~t0. 1UrvNMO •r+~. ~w7 r~l+~ww t _ ~ ow.~ni~.ia ~NOW ~OT`~JOf ~ ' U~i~ LI~O~TCU~I.~~n~ tione _ - ~ ~WN ~Mt~a~1~ in~s. w a~ti SOtW StCtN~T7 MtM~lE~ tIS17~? OCtV~~~~ ~o.n erw a~oK ww Ms«+~ ~vw a~ t~?r0 O~ M1f~+I3! O~ M4tlSttT I occwae w . ww.~o uw. mr r nn~» ~ ~ : ~ i ~wmnmw.om l ~~3t.a~11'L~Tlt. t~ i nwv,ciK.ow Waitross 1 ~ y• Nrw~ow. ~ES~OEtKE-Sr~R Ci1t1?rtY CJ1Y. t0'+rN, M lOCA110N ^~s~ cwr ues lt~et Ma0 MV~r f ~ ' . . 1 ~r.. ~ - ~ _ 1{MC~n ft~ O~ ~U~ j - _ ! ,N Flarida ,q1•tartin Jonsen I3oach ,~~iio ° ,~61 N. IY?dian River ~ : ~ . . . ~ iAT?~i~H~ME ~ IMM _ - air4 MN MOi14l~/AAq(/J N~A~ ~wM ~~w~ Wf ' . ~ 1 _ ~ • ~ 3ames A. Jacobs ~ ~3ertha K. 1•Iichaol ~4 ; ~i i~wO~1~Mn--KwwE . w?~r+0 ~OOiESf i~mn w r..~. w. cm v~ ~o~+, r•w, c~~ 4 . r; Patricia Strachan _,n 5t~1 S~1 50th Avo. i•iar~at9,. Fla. - ± ~ ~ ~ , rw~r w.nn~ w~s uusto ~r~ ~c..rc. a+~. or+c avsc n• ~.u ro~ hi ti). •w t.~ ..T..r. own .a.•,. ~ i; w~ ~ ~ af ~t I I ki ~+K f a~cCdvs!, ~ 4: . , - _ - : ~ CO~?n10M1 Ir ~M7 " C~ c-~ - { ~ , ~i ..i .~f~ .s n~ ~L~C~~er~ ~ i C ~ ~ ~ : . ur~. ~e,. we ro. mwNVN•.u v~ ! ~ - " - ~ ~r.i~wo t.~ ~~~n- - ~n~ urw - ~ ~ , ' 1~1 . ~ ~ - i~. _ ~Att f. OiHt! fqMMKMtt COr~6R~ONt, tow~eO~t coMti~mrO q N+w~ ~+o+ wu~n ro urp ~nn_w~ ron ~~w ~ AVIO?iT R~E S r~~t rir~~¦o~ co«. ~ ' t~t{ e~ we~ tNn~ nt am~~N fI11M ~ NO e a...,. ~ ; ~ ~ ~ ~w L C . ~ It Pw~ac~ `/,a uwo[t uru~to ( ~~""•r+.n~~~ i 4 1 HOW ~?~N~[ OCCIN~[O ~ n~t~ r..~ ~«nn rin ~ e~ r~w wr. ~ . ; • - • - ~-MJ~ tR M ~ ~ ~ ~ ~ tw ~~9 M Y~1 GLLN S . W OK4 ~I 0"~ ~ - ~3 ~ - ~ ~ ~ IN/Vt1 Ft WOR ~UCE Of ~aAAr ~..+c. , r,~.. „n~ . ~~c+o*~, IOC~~ rtv ~ ~n~n o+ .o . c... w ~v~. Mati r ~ ; . .~;i tti~tt~n ~o+uo~ owKKro•„~-I,Cft, 1 L / ~ . • ~ . ~ - ~1 - 1; ?1._ ~ !0r ItG C~' ~ ,.c? Gl4 F1~1 Y~1 4~ N- V(,~/~... - = ~ ~ ,~i . ~ ~ C(tt~fK~tqN-- .onw ~+r ~ n.~ .oK+~ ~v~ n,~ .w u~~ u..~i.n .i..~ or . ~o~~d ~c~.Tr ~w Oearw OCCVwlO *q n,~s. w M . ~ ~ ~ ii ~wttKUN: . .ro~+~ r•. n.s e~e. arv~ n.,r, . ~ ' ~ anlrLli frt TO . . ~M1 •~w. ~~D. 70 K MM . t~• r~n.s~n no.. l~? - 1i. p~t trpttlY01. K/f j : ~ ' ~1/ /!r. /l. ~O ~ 4YN~It {n7f. . C(~11f1GiqN-MEOKa: t=Aywtt O~O~~f~. w ++ti ~.s•~ v .w ~ - +o~+ w w.•. s~c~o~.n .~v~wr!~s s+•~ ~ ' ~ ~ i l t~~rr~epy d M fDO+ a+OfO~ 7M ~++litp~r.pr. .v v~ p~n0+. . h, . . . . - b~~ 1 : •I~A OCCMMO 6+ ~ M4 M ~M q M (~IM~1~ ~~~A• ~ ~'1 ~ . , _ U i.. 7• ~.•oo Q ~ ~ ~ CE~r~ t~_?+wE tn? a rrrn ` ~w+~ru.~ A ~ , . _ ~ ~ ~i 11. aN ~~1t,~+lC.L. Ovtv S ~n ' ~ Ntw '~.o-m..~~./r~.wa~ . t ~ ~ wu~l~+0 ADO~KSS- K vn~~ c~ r+o .n a,~„ ~ Tk. L/ 7 l' • - t ~ - ~u : - - -1'~a~~ ~a ~33~t ~ _ _ ~C+i ~v~u~, en~v?r~o?+. ~c«ov.,i eu±ue Y O~ G~EM+~i011-HI~t[ ~ou~*~cx~ r~ o. w~.~. n.~ ' ~ ~ ~ ~ } ~~tomoval i~tdt. Pro^poct Cemot~r;~,~ iteptune, tlow Jersey ~ { . ~SA f roH+y. N., n~~~ iU~+E~41 HOMt~N14j ~~M /,O~~SS ~ ~r*~n o. t, wo . cws w ro~. f~~. . 7~ ~ - ~ ~ t~ ~M If 1 J s~~nnrnl Iio:ye ~il Calarado ~+vo.~Stuart,Fla.334914- ' - S. A612 ~ a r s~ia~._S~~irv~t , •~n rrtv as M6+~~~a ~ ~ ~ A r.l~)0 - ^ ~w. ~ . ~ t N _ i~ . aj . - ' . . . . . - ' " ' ' _ / _ • ~ [ ~ ~ i: r: •y1~,~~ . . . ~ . • • I ~ o~ ~ c~'"` .,ti;r, i i i;'t~-~, ~ ` " 1 Mroby,ee+tify this ro be • trus and correG oapY af the Locai F= . - ~ .•-~r•,;, j;•.~;~... Registrors record on fil~ in th~ Ma~tin County H~blih D~n• ; Q ~ ~ _ } - nriont at Stuert, florids. _ . . ~ ~ ~ ~ ~ ~ ~ . ~„°1,~ ~ - - : ' ` . . _ ~ (Warninga Not vefid uniess re+sed seal of the Martin S ` ~ - - _ ~ - • ; - ~ , County Haalth Qepartmertt is affixetf,) ~ ! =~)~~:~4 . . . ~ i.~t _ ' r'• - ~ - i~ , _ ~ c__, _ ' f ~ _ . : ~ ' , ~ ~ " - y ~ ~ ' '!v~ ` N. D. MlItER, M. D. ~ ~ r_ ~ ~ - . ~ ~ Gounty He+lth 4fEicer 8~ Lcrtal Rh, istr8r i ~n c~ n.. ' "~.ti' - : <<-.,~, a • - _ • t a- _ . - ~ ,:n~t . ~ i ~ F 1 8GRK ~J~ ~ ~PAGE (~1 ~7~ _ Dit' D~`ny L~a1 `Wqhtr+rr - . 4 1 . ~ . ^ / - . ,V ~ ; - ~ ~ r~ ? . - ~ _ ' S ~ t