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HomeMy WebLinkAbout2471 f ~ / ~ ; 3a_~8,~,0 _ ~ I g _ ~ _ - CERTIFICATE OF DEATH . _ I ~ e p.y.N.re~~ .t Ik.le{~ ~nd FIeIHI~1~N~flre 4..~. tr~TC F~~c No. _ _ ~ ,~vccKxr r~wi.~H F L O A I D A ` ItH. OR fMNt IN ' R[OItT11AR'! NO 23 ~ M~MAMIMI iMK ~CEASED-H4ME ~~1 t~ft ~X DATE Ctf OfAM ~ rOw~~, ea~, ~1~~ ~ - + 1EE MINI00[ f01 . ~ ~ ~ :70NN I~OX ~ST!-IAM S t hI ~ 2 ~ ~ ~ i IuCE .~«tt, »fOW. ~~l~K~M IMO~~M, AGE-~ap u.ae~ ~ n~~ u~a~ ~ s~r DAtE Of NI~M ~.o+~M, ur, ~Q~JTY Q~ Q(ATM ~ ~ ' 6602 nc. e~acwn _ • nmro,. rn.~~~ .as a.~ »oua r~. R~~ 1 ; ~ White s. 67 ~ H J1 r . 1 . . . ~ r~ - ~ Cftr. IOMM, O~ IOCATtON pEAM MYw Cm i~e.m Mp1?{TAl O! O'•HE NSTRUIION-N 11~ Mp~ ~M IMM~, GM Sf~~t ~r4 MYYft 1 ~ ~ fMC~n ~If Oa »O ~ : ~ n ~art Pa.erce n Yes Forfi Pa.erce riemori.al ~io_spit~tl__ _ ; STATE O~ N~1N ~ u Mo~ ~w u Marl CITIIEN C7 NRIA1 COUNiRT w~.e~co. Ncve~ ~ea~o, SURVNNG SfWSE ~ a~nf. orvt ~~w wuw ~ i coMrn+~ wlporvEO. olYOecEO ~ v«.. ~ ~ Vt~~~ NfOf~+C~ / ~ f ~ 1~ 11. c . .~e~ kce.wo ~~Ss?1I1S~S-------- i~- Iarrie~t_G.ilpin ?nea. u a•n~ SOCUI SECU~Tr t~N+~lER VSVAI OCCIMATION ~6M .~o a w.. eo..~ ow~.a .wu o. cR+o O~ MISrrESS at t?+oVSnr , ~ ottw~te w . .oa~.o uw. nrtw u~tm~e ~ - „'M;,~ „~32-30-0598 u. Su Qrvisor Chemical Yndustry___ ; ° •M~~j'o'+~ RfSWENCE-SfAiE COUHTY U11, iOMR:, OR IUC~TtpH -~uM tm ~rnf St~E~I ANO NUM~ ~ ~snu~ , so+»o~ j ?~.F~~rida ~.?St. Lucie Cort Pie~ce ~+.3115 No. nd. iv. t~fME~-NAiME .rK~ r~qpi! uft MOTMER-1NAIDENHAAIE .?rs* .roat t?f~ . ~ ' „ ' Unavailable Unavailable ~ iNWRM~?+T-1~uwF hut~Cs ~DO~ESS ~smn or ~.r.o uo . tm a~ow.., f~.•~. o.. . Harriett G. ~astham- ~n3115 ?do.Ind.Riv.Dr. F.~Pierce F1a3345 ~ - r~ur ~ . . . w.... . : _ . pEATk WAS CAVSFD _ ~FNfER OrMY ONE CAUSE fER 1RlE fOf (e~, (S~ AND (t)) Nn.!!w Owtt~ +~+0 N~tw i .c ~a c~vs ~ _ , . . ~ ~ ~ ~ ~ l ~ ; . < , • j J r 7 s / , cowemo.s.,~. a..., ~ ~ ~7J1+ ~ JL l~LG( ~ G~L ! ..~c. a•.~ e~y~ ro ~ Ib) K~ ti i ~.¦ee~•tt cavt~ ~at, py~ s0. W•s . co+se ' f~~/1M0 fr! Vr0lf- • ~ 1I1M0 C~YII 1~1n ' ~ r~ ~ ~ - ?~Rt ¦ O1MEt S~G?+nK~r+t COnDrtrOr+ . wan yy<Sw+yy v~ a a• ..o+ n c ~ amr..w ))Jc ~I AUi r~ M YES w~~~ n e~~oi co.e- - / J',n - w/ I lIf O t ~ Yeltlo ~M ~ r~w~MO C~vf! i - ~ - i v ! ~ o~ e~~rw ~ ~ul.t. ~..if -C/1 ( iw ` ~ i i . I~~~be~h) 1~CCiDfNF- SINZ~L+[ ~ A IrOr~iw. wr, rt.~~ HOW IN~lT OfC ttED ~fMlt...tvn~ ~~Mwer ~r r.n ~ o~ ?a a, f I X0~ kl E. Ot U~DttFtriNtO ~Rr ~~1 - _ ~ !F. M. 7M Y ~ IN1UtY AT WOf[ --r?LACf Qf RiRAY ~t .ore. r~t., s~an, r~norr, IOCAnON ~ sn~e~ p~.~ e. Mo . c~n of ~o~++~, u.~~. _ IlMC~rr i1~ V~ ~C• ~cAK! NOG.~R ~f~tC~n/ ~ . - ~ S11 ~'1 . ~f ' . . CffTM~C~iM.?ro- +a.~• e.. na~ .ww~ o.• Ru ~W 41t f~w NY~/MM .~i~n!t w~ oe/w.r+?.rr m~~..~~ Ott~~no •r nn ?uc~. w*w ~ i - - 1nrS~C~~M: `tTM ~0+. / ~ WbT .rtea ~ tN n•tt. aw0. ro Mf Msr ~ ...,,.,o~e 4 13 7 2 T~;,? 4~ 23 ' / Ih Dtr1.51~ ~n.. . . 11~ ~ 71~ .~:t. ~ _,/~/4µ O m! C~vfen~i:n0 'f _ CEtT~fICwTiON--iNEDKwI E~~FR q CO~Or+fR w. ne s•s~i a n.r now or •+w oa~w.n +.s'w.w~.crs ce+o ' ; ~~~rw~hO~+M t.y qor •'+D!o~ ~r! wvis~R).t*Y,. ~H r. Wm~p+. - ~d+TM e•~ - ~t.~ - wfu~ ~ ~ O~~M OC(V„fD p+ *M O~R +»o ru. ro•~+! C~~rif~1~ t~~RD - ' - - M „ - 23 7 5 ~ CF~nnF~_r f .i ti....r - SiGra~ ucni w:,,,~ - ••p~il 3+r.~+ED ~.~own., e..,.i.¦i - : t~, ~efVlri ~TOlk~~ysky M.D. ~rx T/rll~ M.D~P~~iM 4' 25 75 MAR4JG A CfRII I~ ` Sr~(1~ ¦ r D 3450 . ~H ~~2 7th Street ~or i -cQ; F`r~3c`~'~a: : , ~ ~lM!~l. C~FM/1i~pN, t[MQVAt CEMEfFRY OR CYcAUTOwY-N~Mf IO;AT1pN [~n o~ ~o+~ -S~.rt 4 ~ S~tc~n ~ ( DAIE --_~--~~.~.7mc-~tl.~n fUN ~~H()ME ~NAMj AND ApO~i~ma_t~~~~~:~0 ~O. ttt~ p~ Y~r~s-E'~~~~e, _.Florida •NApri~l 2G, Y9'75 ,,,yates Funeral Homs Box 777 Ft. Pierce Fla. 33450 - S. ~E1~ _ F(RIEf R lEG~S .~-S~G+/~tUtf DA1[ tICE~yFD tOC~I tt613t~~~" f ; i R•~. iv~o ,M i~? A ril 25, 1975 i ~ i ~ . j - i: ~ ' . ` ~ ' ~ ~ - ~ ~ ~ i ~ i I Mnbr awtify thb ro b~ . t~w Md co~~ct uopp af tM l,o~ce~ ~ ! Rplstr~r: reoord on fita In tM St. luci~ CountY H~alfh ~PsA' ~MD E~ R f£~ l~; ~ . - ~ . H1~f?t ~t For't Pi~ct, FlerFde. L(~1~ C~UN~ ~ ' v 3i ~ , ' ~ ' (yVsming: Not velid unless raised ieal of th~ SI. ~u~c1~ ftOGEP ~OIiR4S - ~ ,;j•~ €s,~~'~ j~ t _ ; yl~ - _ ~ a t C,ounty Hsalth ~eperm~er+t is affiz~d.) CLERK CtRCU~T CO~fRT - ; z I RtC4A~ vER~FIEO _ d= , . ~ ~ = ~ . . 3 ~ P1~'15 r'j+.,: - f - N. D. MItIER. M. D. j~f f~ I ~ ~firltfi Offiur L I R~qistnr d ; '=~Oj '=-..~~---i ~ ~ r-' ; ~ . . ~ ~ ~ ~ ~ ~ - . ~ _ ~a_~~~Q y,-~~; ~,F:~~ i . ~ ~ t~= - . ` tac.~ Ksc~str.. . ' .i - p,M~ _'~M - - . . . } ~ ~ ~ . - . = ~ ~ ~ ` - ; ! ~ ~ ~ - - i . - - i BOOK~2~O PAGE~':t6~7 ~ : ~ ~ - i - . , ? t ~ _ ~ ~ .