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. ~ ~ + ~ ~ • , j ~ 2%~$DO~. .a ~ . . r , ,j ; ~ • CERTIFlCA7E OF [~EATN ~ " ; ~ ~ ' ikp..t«,.~ .1 tk.UA .~d R~6.6~1n.n.e S«.k.. rrAY[ ~~~c No. ~ ; ~vnx~o?iK.~i.n~ ~LORIDA • • ~ TY/E• ~NNt ~1'j lrM~~IwIUR~Af+~~ ' i j '(~MANIHI IM4 ~ AE61tT1~Aq•~ NO. 1~0 ~ , ~ ffl RIMOIOOi !01 OtCIA3tD~•N4Mt rn~~ bEt P~t! O? OtAM ~¦n~~., ~.r. ~ ; , nrwcrr~ , CL~311 GDG11R RYTC~IEY ~ bta le , rabrua~ 20, I974 _ , ~ I ~ . ~AU ~h. MeM. ~rf~KU1 M~~w~ Af.[-u1~ ~ae ~ r~~y.!e~~ O~I( 01 ~NIN t.w~M. w'. COUrtY Of OEAIM - . r ItC. 1 tNCM~ ~ F~M~~t Iry~~~~ ~01.~ M~~ MOV~1 t~~ 1 . ( ~ Wh~te 66 ~ ~~~~+g.23 1907 Saint J.ucia ~ 3 ~ 6602 r~ ~OwN. t~l A ~w~ t~ ~~ra 1fpSI1/~l Ot OIH(M N~I i U -M ~n .o~ .r e~nK~, em ~~M~~ ?~w wMwe~ ~ ~ ~ I~ICN~ ~11 O~ w0 j , Foxt Yierce Yas „ Fort Pi.azce ~iQmoxxal Nospital : i t, ~ ltAtt p Wif~ ro~ r~ G IM w~+,?t 4pwter iWtftD. 1+[~t4 KMMEO. 1SIl~YNMO S~OUSfiw :~N. ~M .M~ir ~...r ~ • ~ ' . to+ew~l w~pp~y~O,ONOtCEO MK~~~ ' - . ' rio.~h~no.c~ ~ OllXO ~ US/~ M>1'X1Q~ Thalma Jacobs ' ~+QH Ml~aL1 ~ ' ~ t~. u M.m f6Ci.LL S(~11'[~(Y NI~Wf~ USU~t! OCCiHA~~ON ~ene ~ws w ra! ia.i w«.i .~oi~ ci RRA p WSNlSS Oi IWUS~it ~ ? ~~1~ M AOMM I~II. Mtr N Mw1N 1 . ~ ~ N~ 27t3-O1-5689 Ma?nuracturers Rapresent tivA Furnitura ~ ; ~ ._..o:. ecsroe?«tc-s~erc cas+rr un. rowr+, o~ ~out~oa, '~i~'e. c~n ~..n nei uro ~H~I - i = n•rc,,. .u o~ .a ~ i ~lorida St. Lucxe Pt. St. l.uci.e Yas ~,,1401 San Sovina fierraG~ r• , ~ IAM(~-~MA?K ~Nt1 aMOll ~~N MOfltff--A(4K1(NNAA1f ~ri~ nr~M! UI~ . j . Edgar Ritchey Addie Crockett . ~ 1u?04KM+/-H'Ywt FMK9+G ~OOetSl ~un~~ n~ ~.~~.+a. crt, w arr, ~r.n. es~ 33452 - . : ~ ' ~ ~ ~ Tholma J. Ritchoy ,n1401 San S~vina Tc~rr. , Pt. St. Lucie, ~la. ~ ~ . ' ~u~~ • - . . ~ o ~ ~ ' . • ~ ' . O(A1M WAS GUS(~ ~7• - ~(Nff~ ON1Y O~.( fAUL! lN~ IW (A~ ~Np ~ . , M, u , „Mt/M pw{~1 ~w~ N~M ; ' . ~ ~ ~ /..~lc~ ~t G.~lCi ur ' ~t. ~ ~ ` ' ~ • Zl ? f . , . ~ ~ co~.mo... n .w. ~ - f o,~~ ~a n> > '~Y~--~ /~~E~ _ : ~r~IN•t~ t~vf~ le~, M b. W a CO~N W~ ~ ~t~nwo tr~ v~~~w . ~ i~.»~ c~rw ~~n - ~ 1 h~ - - - ~ ~ IRt/ O~Mt S MK t f t c ~ o..Mrmre ~n ~eur pw,w~ ~n?~f ~o c.nr on=w N r~„ aU~«~r a YfS re~t ~~re~~o~ cow• ~ i . . n Ir1t Ot w0 i+O~rt~ n~ Mrl~rwwp U~N ~ ~ .1~~ M E s ~ 1 p.~e„rT,j TZ~~oir. sLTCwt' 6~ ! ~.w~~,.. s+~..t.~ ~ HOtr ItrN~Y ~ t+w~ w~ rw»M 1r ?Jf~ 1 p~i n, m. ~ ' _ ~ : ~t4~6l. a wD~~~wn+[o - OCtutRtO - ' 70~ M . j - 1N 10~ M W ~ ~ ~ ~ - ~Hlutt ~i WO~R _ ftAC[ O+ ~+lV~~.~ •or. ~~r~r, r.cro+.. tOCAnON ~ t•mr a~~.~. ro.. vn o~ ron.. i+~w ~ ' , - i . 1!M(+n nt W w01 pnKt ~MO. IK. .MK~nI . , f ~ 7h fM. - . ~1 ` , ~ ~ C(fTMKAl10Pl.-. 4+'~ M• H~~ .o-+w w. ~i~~ u~~ s.. +~r/~m ~„n e~ ~~~/w wr nn wr Ot~~r octuMec w~ n~cr. w M : /ntfKuN~ T~ +o.~w Mr rrN ~o~. ~n~e ~t•w~ ~rovt~ ~ •~~t. ~.o, a ti.t ?+u . .:a~..n nw a an.~~xa. w~ ~ ~ - n. 7122/69 n~ 2/~9~_ ~Z.4 _ n, di.d n.3:55P ~,,,,.o~..~.~H~~,.=.~e. ~ . t Cfi1MKi,tiON-M[DK~I tiAiawFi Ol~O?N+Ct, w r.~ a M - ~ o ,e+ ~~+c~ e r•t +w~w»ce~ ~~.e . . i erwaa+~Or~O~ M/OO+c.1D/W Mf Mr1iMa'pw. m~r Mr'C~. Wt ~ AN ~p~ ~ , oe.~ «cv«*o a. M~.w ~.~e sa a~.r c~wen~ t•.n~. ~ t ~H K rn ~ t C(tiHn't_Ht.wF mr~ a i~~n ~ - ~.2 qeo~ r~ 6~TI~~~++EDi.a:'+, ~ar, nu~ " ! , n. ~8~Y~7LFlU~SOSeLS}~y 1~.eQ.-__ ~ ~k ~~u~Y ~ ~ ; . w~iNC ~owESS-ctarr~~ v.~~~ w~ ~'L~-- ~c . w.+."_'-- u.v x~~i+t ` a ; • F rfi i. i ~Vt1Al. CR[ANf . f(MOVAI ~ o~ c.~w~iar-wMC ~ourw~, o w.~ i ' - . 1 pfClf~ I . - . . Cremation „~rt~ Piezce Crematoriu , FoxL Piexce; Florida ; c OAi[ ~a~"b~j. ~TVf.~, WHlt4 HOME-N4RlE sN0 ? tFS ~ s~a~~ o. •.r_e w w ro..., ».n +~l ~ - j Yates •Funera~ ~lame, [30~ g1~~/, F't. 1'iorce, r1 33450 . ~ , Y. S. f612 ~w[A~t W{EC~o~ ~Nef •EG~ .~-LGNil~1lfE DJ~! M[lrvlD ~T lOt~l qG~lT~~¦ ~ ; R~r.19)o tu ~i~ ~'/f~` • i7?a~t..~- ~ tu 1~k1T'C}1 1 1974 i ~ _ _ • ~ ` - - - - _ . • . ~ ~ 1~,r+.~by o~rf~fy rhl~ ro b~ s true ~nd wrnct copy of iM Lticel , 5 i _ ~ ~ Rvgisl?ars r~rcord o~+ file in th~ St. lvcie Gcwn~y Hae~?h [~en. _ ; j ~~~f ~t FOrt PiQrCe. Flort~e. F11E0 AkD RECORDEO ~ ST.IUC?~ c~U!iTY F~A. . _ _ t , . ; (Warniny: Not valid uniess ra~sed sea~ v, ~hrr St. l::~x a.nrsR P~lTRAS t~ ~ j Cqunty Heslih Depertmenr is effiK~.) CLE~xCt;~~tllTi,OU~tfi ~~'-~~~ls~~~~=_:i:- 4 # ~ RE~O? : ~f_R~fiED.,.r..~..~?' ``1'~= ;~i. ~i - y ~ ~ ~ N. 0. MI~tER. M. .•i7 ~ ' J~k 6 4 io pN ~~-5~. s f_ : ~ ~ ~ Cou~~y Hwlth pitiur $ l n c el Roqistrar . ~ ~ =*t. . ~ ' ~ ~ ~ ` ~ ~ wi.G.~~ C f/~ !i`~ ~ ~ - ~ ~3~/~. ~ E~y a ' . . - ~ - , j ~~i Q~11J/)I ~4C1~ ~~O~ST/of ~V~~ . , ~ ~f'j~~~~' _ . - , ~ ~ • - - " , . ' ~OOK PA~E~O~~ _ ~ i _ - ~ M.AY ~ 9 1975 - - - ~ : ~ EU K 38fi pa~,Ei554 . - : _ ; i _ - ! ~ - s ' - ' - f ' • , i t _ - ~ ~o ' _ . • - ~ - Ij ' ~ ~ - r~ , j - _ i ~ . ~ s • Y' J . " _'f . ~ - - ~ '.,j ~ f ; ~ • _ - J , i = ~ _ . `)j ' ~ - . ~ f . ~