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HomeMy WebLinkAbout0408 ~ i~~"'~i'~. ` . - ~ r ~7(L . ~ ~ ~ , ' ~ - ~ ~iLED I~ND RECORD~D • _ , . _ : _ ~aft. • ~ ~1 ti n n v . _ - . - ~~lii~-I~~;u~u----.. ~ , , , ~ ~ . ~--~C(' L~ Z~ - IN RE. M~1BLE P. TAYLOR , . ~r~t~ 5 ' ' ~Iq ~ ~ . . . • : , ~ : ~ . ~ _~l.'.. ~.,j +f ( .j_ . . _ _...t: ~~r. ~u~iE couti ~ Y. tAis tTATt oow~a o~ wr~4rt C~RTI~I~ATE O~ DEATH F LORIDA eo~es ~ •UN[AU OF VtTAL /TAY1iTiC! mTATR FILS ti~. 1 l~aal FL08ID~ ~ ord •nsn Q~~ R[4lL7RAR'~ NO. 315 p~oprrl~ . _ _ , 1 rucc es ~sw eon c ~6, uwAt Utslspl~3 ( wi..~. •.a~ ~..i ii ~ • - ~.r.,. - - ~ s a c~:~~ a OrxlNTY s. STRTI A. GOUM7Y •"e •1'1 ' LUC~g bb-02 F"I~ORIDA ST. LUCIE pe ~lae+e !e p~r- D. C~TY. TOWM.O~ IOCATqN t. IS ?lAt[ OF 0(ATN t. tITY. TOl1~N.011 LAUT1p11 t. IS RESIO[NCE ¦aetet I?tSiDE CITY IIMITST tMSfO[.CITY LIMITit f11~. YES~ ia0 1' 1'. YlEH~E resL~ i+o? NAME O? Mt fn ~?tylt~i. ~bt tttaf a.ihiM1 t. LENGTM Of f. STREET ADORfS$ HOStITAI 011 OM A FARMt '"ST'T"t'°" ER E M~~ . HOSP, ~ Y~ 3200 SUNRISE ~LVD. res0 po~'~ 3. eallis e~ sYsK NtLit. I...r a?t[ 1sf..u Dp Y..r : «r?'*'~ ~SABLF P. TAYLOR ~TM SEr 1. 21 1962 SfX 6 COIOR OR IlAC[ 1. MARIIItO ? tefVER MARRIED ? ~TE OF ~IRTM 9 j~ Dtf~ft ) *~m' ~ r x.,~. Da. ~.o. rre. ?<<• F W moorw~ avoieccc JULY 28 1887 7 , a~l n 1~ ~UAL OCYUPATION (Qite tfn! e/~oa! ~t ICO. KINDOF WSIN[350R IM011STilY 11. ~IRT?iAJIC[ (81~lt w~~tlOn ew~lrr) I. ClTlml OF 1nMT WUlfiftYl •it~ F~r- lrrfsye~at ralh~/l~Je,a~wlJr~rtthhe() ~aa~nt HOU~~,'WIFE OjhRV HONIE SAGINAW MICH. IJSA Q~~~t I]. ?ATMF11'S MAME I. MOTIKR'S MAIOEN KAME ot ~~r•~T~e•* THOMAS W. POPPA!`t MARY EI,IZ.ABF,~'H HOEHISEL 1 NAi OfCEAS[D EYEII IN U. S. AIIMtD FORtE5/ I6. lOCUL SECU111TY Iq. 17. ~~i<ONTIIS[ e~ 1?.~. ~r u~?rwJ lll f:w ~w w iW~ ~1 w.sow) . al~ln 1 a3TZd~' ' NO NON~ Ft. ierce a, frn~r a 1 1{. CItYfB N~RJ1rl1 (1@al» ~wJ/ vwe c~w~ ptr Iht/?? (D). ~l (r).~ IIfTi1tYAL Y[11ME[J1 A1 to ~ PA11T L DEATH wAS CAUS[D ~Y: A1D DEATM r~~. ~y~1E01ATE UUSE Cerebral Artery Zhrombosis massive 2 Hrs. tYs e~~- ~&+M+, ~i~*,, o~,c To ca~ C~rebr~~rterio Sclerosis 1 Y •i ts t~• r?icA /w rLr t~ 1 e c a 1 de~r c~ue rt f~tr~r l~ r~- ~ Y iTty ear~t Jwf. ~E TO (c) • ~~111 A 7a 0 ?ART II. O71Q SaGliFILaXT CONdTq10 CONTfAUTlN TO DEthl ~lR MOT REUT[D TO T9i[ 1LRM61ql DtlLAX GOI~/Td1 6N01 M?Mt I . w A ~ ao~r. •r- ~ «Diseas . rc~rouwcot a'.`h ~ Con estive heart failure Arterio Sclerotic heart r~sp ~+o~] sr b~Cor• j~ p~XR~~ ~~~UN1/OCCUIlREO. (Eht~r f~1r~r • 1 r h Prrt /K Pot !I kta~ l1.) ¦~k1is an~ ~ ACCIOEIIT SU1Ci0E HOMKlOF I~ I N ~ '~~/~ef- ? ? ~ ~ ~f ~ 2C~t. T11iE OF Hou? Xo~tt~, Psl. Yter ~ IIUIIRY ae. ~ a i ~ 2U(. IIUURY OCWRREO ZOr. rucc of iM.tu~r i,~ a.t»rt L~se, 2p/. CITY. TV~iN. OR IOfAT10p ODUMTY STATL NtMtLf AT ~ NOT MfT11LE ~ lN~~ /a.tOrl. It/tR. ~~ot dll~.. dt.) lY~J1K AT MORK . t~- /~etrnd~d ths dswa~ed rom 9~19~62 , to 9~2~-~ ~ ¦nd Isst sa~ h j~ •/i~~ 9°21° 2 Wath xsu~r~d ~~bOll~l • ~ on th~ dat~ af~tsd ~Dor~; tnA to flw bssf d m~ /~noil~d~v, /~em th~ o~uaM ~f~ter. ?11 ls~na ~ u~T~ ar• to 1~ (~q+norWfe) 22D. ADORfSS 2ts. DATESsC1t0 s••r1ie• , J.H . ~3atsche t~ . B. 906 Delarrare Ave. Ft. Pierce F1 . 9-25-62 . ' ateY! ~t~. ~~T~. j~. ~r~f Of CfMETERY OA CRfNATO~Y "2...+~. LpU?T7~ (CYp. t~K~l. K Esi~I (~Qt) ' ~ ~~~~ih~ 9-25-62 FT. PIERCE C~IETERY FT. Y~Efi~E( $T.LUCIE FLA. o•~• f ai~ t4. ?u«ciu~. 's sw+uruRC 901 !IY"E'~th. St • ~TE RECO. !Y LOCA~ 11Eti. . REGISTMR'S SKNA ~ ,~.•.l~aa Milton W. Baird, Ft.Pierce,Fla. 9-26-62 • Anna Lee Denison d.r. i , ; ~ I, l~areby certif~i _4fsis to be a true and eorrseF cppy vf the local ~ Ragittrars record .on file in the St. Lur.ie County H~alth Depert- 'tr?~nt at Fort Pierce, flor~da. - (1Narning: Not va'.:l :,h'e~s r~~s~r! se~l of the SR. lucis . ~ County Heahh Department is affixed.) . : - ~ - ~ ~ , . N. D. M1llER, M. D. ~ ; County health Officef b lotal Registror - _ ~ ~ ~ ~ ~ ~ ~r ~ i C~.~~ ~ • . ::.s:: - _ . - . ~'dTi - • ~F?t!S'y ~OCi~ ~O~t3h81 d ~ • ~ ~ . ~ . t ` ' . . ' . . . t ~ i i LAW OFFIGES WILLES. HI'RAN & GRiFFIN gOOK l~V ~ P. O. BOX 308 , FORT PIERCE~ FIORIDA