The URL can be used to link to this page

Home My WebLink About1287 ; i . ~ ~ , _ . _ . . . _ . . _ . - s"3~37~5 _ _ - 309960 ~ , ~ -.~=1 - cE~TiF~car~ oF o~,., ~ ~ ~ ~ . Ds~p~elwcal I leab~ ~wd RctiaF,ilitaUve $~ccrk~s ~ ~ iTA7E F~". NO. . ik~~x oF ~~~~t~~ F L 4~i I D~ iT?E, OR /t~Nl IN •~'~'~~~~~~t~f° - • qEGIBTRAR'.. ~:o. 342 ' ' NtatAA'fNT INK D[.."EwiEO-H~Mf ~~ut .ww~ a.f~ SEi OwiE Of OE~'n ~•o~~+, i- ~~~orsa Luthex Ottman Carlisle Male . Juna 31 1973 ~ ~ or ~ a ~ . 1 RACE ~•+ne. w~o~o. •.e~K~~ ~••~u.r, AG[-u~~ v..ar. ~ rt.~ o~o~~ i e.~ O~iE O~ NIliT1 ~.o..rw, ?.r. COW+TY Of OfwTN . - t 6602 ~ ~ White •:•Mg,'3~•~•~•~ Jan 10 1910 St. Lucie ~ i . - s. s~ ~ , : ~ ~ ~ CRY, TOWN, O~ lOGT10N O! OIATN w~w~ ~Wrta MOShTwI OR OTMER NST~M w~ en.~~, ani ~tan .w ww.~u ~ . ~ - . YIC~r rll O~ MO • . n l~t. Pi.exce Yes Ft. Pi.erce bfemorial Hospital - - STATE Of ~I~T11 ~ a rot u+ v.~..., M•+~ Gi~ZEH Of Wei+?T Ca~JN1IT NAe2.f0, NEVER M~tUEO, SU~VfrllC+ StOVSE ~v .vt, pm wor« ww r S „Wµ„ti~,~, ~ Pennsylvanf~d'"'~ ~ USA ~ ,~`~a."-~°c~~°i""~' Gatherine Reese ~ r.~a ~ect.xe ~mo. u a.rw S«ul SECYfrtt NY~ft - VSt1M OCCUMi~On ~a.i ~..e a.ro.a oo~.i oua~.a w~~ a K~Hp Of WSNtSS O~ ~NDt75Tt1f _ occvn~o w uii ~a u w,uo ~ ~M?^^^~.,oM „339-OS-3283 „Technical Directox Huliinger Co Sales ' . ' MCI MWY ~ ~ RES~OENCE-StAiQ (ONMTT GTY, iOWN, OR IOCATIOt.~ ~'+~'ae tmr S1tEEi IWD HW~lEI - ~ ~ Wlur r~i q rd . - _ ,M Florida ,~$t. Lucie ,~t. Pierce ,~~.Yes 1009 Pennsylvania , . . fAi1+ER--NAME ~~at riew~ - ~ ~.q MOinEt-A4tOfN N~Mf ?+N ~ r•oou utt John ~ M. Cax].isle Kathexine Ot~r.:an ~ - . ~ ~1+t~0~IMAM-N~ME . • • - • • - bu~6u+G w00RESi . ~uNn o~ ~.ia..a., tm w ro.~+. ~f•n. . . Mrs Catherine R. Carlisle ,n 1009 Pennsylvania Ave Ft. Pierce, Fla. _ ~ - ~ /Mi L . _ DEAiN WAS UUSEO ~Y~ . ' " ([N/ff ONiY ONf GUSf IEf l4rE fM ~l A). A~ ! . ~~~~O~uutl uv~~ _ ~ ( ~ A ~~twa¦ o~s~t .~o eatr _ w~ewn va _ a, M /~1/fI2 ,G'I~?UN~OPNEU/?!ON/ _ , Ka.~ ~ . - ~o~.,~,o... 6 r_-~ R~ : . ~ ~ ~ n - C'h~~4C ~iv0 ~ATo.s/,S ' ' - rwlCw 0~~~ ~~~f 10 J . . _ . . IaYl~la/I C~f1~ 1~1, ~~O, M~{ ? COM~(pWrKl p< ~f~fIMO iM~ VMO~~• ~ . ~ a~~o u~w uu ~s9R ~/1/O/1~!/9 _ <<~ QRO.NLsSrOl~o~'N~G C /wtt Otnil S~GNJ~C~wi COe+Wi~OnY~ <O~wt~O+f CO 1WN~1+01C WaM Wl wOt ~(u70 TO Uu31 GMw 1w Iu1 1 MI A11?~?SY ~f YES .~~e ~~.o~.ei eo~- O~ Ot~f~ S ' " ~ - P~YR Pl~R/~ ' SEfONO/)RY 7`D % HRlJ/1/BO ~ To PE.tiiA ~M ~ ~ry ~uo wf~~'uw~rG 4Y3! Pwtsy~1 tkt. w ~.o.rr. wr, nu ~ MOw InAltY OCCUa~EO ~ ~wr~~ w*we o. uu~n .w i•n . a ru~ u, ~n. ~ . ~ HOiu~UOE: Ot W+DtTI[a~w[D - . . - ~ ~ /`/RTvRA ra. H. r.. . . - ~ f H1U[Y AT WORK ?utE 01 WM7 •r ao.e. sran. ~.na,. lOtwnOr~ ~ smn w u.~. .a., an o~ ro+.., ~~.n ~ 1 WG~f Tti M MOI W/K! W' O..~K. If/Kr11 ' ~ ~ ~ ~ 1 ~E[~~j~TqpJ~ . ry~=N ~ pa~ ~W iO~A O~\ 1tV uf~ Y~ w~r/~fl YM ON ~ O~0/D0 wOI ~nlr~ M ~[ATM. OCCVtt~ ~7 Mt ?YCf. 4+ W ' ~ ~ ?MTS~a~H: ~€O/Lfi L~ TO ~OMTA Yi itY WO~ OI~TM. IwOV~I O~Ti. U.D. )O M! YfT . . ~ - 1 ~Rl~+OLO 1M! ~ . 01 ~T tM7M'liOC.[. Ov( ' t ~la a~e~.iee no. - ~ _ 2t? ~ 7~. ~I/. ~ D~y tt~. +o n.~ u.u;i~ ~•.~i~. - ~ CE~TtfIC~~IOH-1AfG!Gl E7UWWEt Ot COtONER: a~. ret ?•ui o~ tM wov~ e~ a•~~ tw! OKIpr.7 ~y IYOwW.K1D M~O ~ ~ - ~i.,.ro.ro.. a w~e aoe. .+ro/u nw awsi~c..o.. a..w~. .w~nI. ~.r n•~ wv~ ~ - ot•rw oetvNes on w wn .+w ov~ q~t t+vsiu~ tr•ti - t/ Y P K t7?. fr ~ ~ - th. - ~!j at . . ` CEeTtF1ER-w~MF mn w?~wn ~ - . S v~T :iE wuu a nru ---~`~-y OAiE S..s+`i`v cuo~TM. o.~_ rW~ ' i t~. Ft , C A~-/ XT D( N? G C1 C L- F~;r4 C~~=~ ~ n~. 1.u~4 wDORESS-CFiJHfFf uan o~ o. .w. n w w.~w ir.n 3~ t~ ~ ' i r~ _ M'O ~2 !!i L O" L - ` • ~ ~ ~VtUI. UEMAT ~EMOVwI EµEiEtY Ot CRE~MiORY-N~F tOUTiON an o~ w.~. i'.r~ . ~ f~ec• ~ - ~ ~remation ,,,.Fto Pi.erce Cre:natory K,. Ft. . Pierce FlOrida ~ DATE r • fUr~ ~ MOME-N +Nf Ax0 ? fS5 ~+f~ur o~ ~.e. ro., cm o¦ ~o.~. iy.n. [u ~ ~ - .r ~ ~ ,N June ~9~~ ,f~ ~tes ~uneraj. Ho:ne, l~n . Ft. PiQr ce, Florida ~ Y. S, f612 FtJNEItA - • " QEG~ST R-SiGruNtE O~iF ~[Ctn[D 1T IOC+tI 1fG~STL1 ~ ~ - Rsv.1970 iA. f ~ tu. JI:;.P_ ~S~ 1°~13 ' z . ~ . . - ~ s , - iILED AND RcOQRDEO ~ ~ f - - - ~ST.Ii?~tE C~lIHtY f~A. - RdCfR POiTRAS ~ - ~ CLEAK CI~iCWT CdURT - _ - _ RFC('4t~ VERiFIEO......:...,.~ _ _ ~ o~f ths L+ocel ~ ~ ~1 / ZZ 1 t': - _ i:.. 1 h~nbY oKtify thb 1o b~ s trw ~nd ~ofroA copy . _ . ' , . . , . ; , _ - R~qt~tnrs reoord on fib in th~ St. tueie Count~r H~atth @epert• _ ~~C~t~s~ ~ . ' _ - - tr~tt ~t Fort Pi~nce. Fbride. . - _ , - _ ; - - (Wernirig: Not velid uhtess raised seai ~f th~ St. l.uci~ ~ - ~ - , - - . Covnry He~hh Dspertmern is affix~3.) - _ . . ' - i - . - N. D. MILLE42, M. D. - - • . ' ~ . GpyRty 1"I~+l~i ~IC~f ~e ~ACe~ ~p131TN • ~ , - ~ 1 ~i:.~ _ - ~ ` _ . . - - p,M,~ Laal Rwistr~r - ~ - ~ - BOOK ~~O PAGE1~~~ . .