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HomeMy WebLinkAbout0158 . . _ , . _ . 14~35~ ~ i~s• rr~,ra oo~eo o~ MtALTi4 CERTI~~CATE 4F' DEATH • suasnu or vrru sr~m~ttu L O A I D A KATR IfLR MO. ~.e.i r.e- •ta st~~n N j t~?e r 1 j t. Pt~t ~t 1t+t4M CQO t MO. L UY~AL ~?sw. ~.i..it M.~/. f/1rrr~s.•: >ai/~.~. ~w. ~irV ~iitrt~! ~ ~Y il. fTAT[ C1D~oMT1' - a~a ~li~ N ~lat~~ ~ t• ~~r- C~YV. to~r+~. dt ~oc+~T~ n rt~cs oF ot+? tmr. rorra, o+~ ~.ouTroa ~ •a••.t nawc sm uN~r~ ~+a cm uarrs+ r~t•. ris ~a ~ rts Q ~o O - •E-..r.-i.~t..rl lt?I~TM 9I flll[i4 ADOM[fS p1 A?AMfI 3 F 110l~ITAL OR . _ . lMTtTUT10M fTAr M! !A YLS O MD ~ - . wult N i'I.M JIf11lM Lrt ontt 1Wor1 Dns Ywr t~ M oi~ru C~DLOR OIl RASi ~ MARRRO K~iA fIMR~D O~T! Od NRTM {Mf ~Y~di~~ Yw~ O~ /w~v Xb. • • ~ ~ • iweo~rt~ awACCo ~ l~! ~ I y K CKL1IrAT10« (1Ye H~t ~/fat IM~ . K+a! aF it?fNl[13 OR MAVSTII~ 1. ( w JMrI/~ ys~R~ . e+'~1 p w!1r w~M~Y ~ •lti ~ar- ~~~Mnwtfs~/tp.we+elJr~!!r~ ~~l~A• llas! 1~1 lA111[i'f . Iq 'S M •f t,n~srit~r ' ~ i r+~s ecanst [Y[~ NI U S. AlIMEO ~C[!1 . lOCWI sccuR~nr s N~w? ~~i~ He3J~ar'ti t Ir. M. ~ v~~Mi U/ M~. N~ w~. f.s~ d ~e~rol A~~P~f ?iw~~r~! t{. CAYK N~tATN Ak~ ~I wr wiM pr (s)~ (e). ~ pl'T[~YK ~1 r~ • ?AAT l 0[ATI NA! CALIiED tYe ~ ~L~ Ai~ ~LATII .~~t tfl• wrccu?rc cwx (a) --:CatA~D~-tbt~i}i~~~i ~t4• s.r_ tsr,.... y.,.. ewc ro c~~ fliM t!f ~p~` ~ 1 • ~ ~ I ~we -easa (i1. ~ ; =.~.f " . ~ N ?~tr~r ~tif6~f /1~ r~e1~r• ~ i Out TO (d T'f~r~i r < .s~r~. ~ M~w w~..e w~. . a t- K o*r ~~ec~?~ aanrna~ c~w+.+~w Tv a~,~ wr ~ov ~um+ ~o n~ ~r.iw~ a+~~ aoiaro~ s~a r.t~r t,, ~~r ~eat~ ~ ~~~7 . ~ 1'[Yb11MtW ~ ~ 1~t~t• • . ~ ~~ti~~ aay ~ ACCM[1tT su~C~ot qOM~ctOt ~D OcfGt~o[ IqM nvultY OCtu1t1~[D. (jLlw s~hir y'h~v~ t; /tit l~1h~t /1 ~f_l~ts'~i~J~~, ~1~;~11- ~ • . 1.-:~'•"' . ' ~ ' =,i~' ~ ~ •~ty. ~t. Twt oI Hwr JIIr+~t?. Drt. Yw T'~, ' ,i _ T- ~ ~x+ur _ ~ ~ ~;;1 F,~~'r.,. _ s• :-u~~+' , ~i M~JtI~T OCCVMtO ~De. M.~C[ OI MUtlM~ N. t- 1~ M~wl ~tw, ~f. C17Y. TOffa. OII LdC~T RiN s} 't • ~/~T[ { ~MM.E At 110T 1rNil~ ~'A. Iblwt.l~Of M~I•. Ml.? • • - ` , ~K ~ AT M~OIIR O :J ..e. ( ~ ~ ~ =1• / ~tf~waM1/M I~M~u~f ftrA~ , H •w/!Mf Ms ~ ~ ' Dwth s~sutrM ~f ~ p i~~' , s s yi~_. r~ oa fAo I~M ~f~ha/ ~iwM: ~w1 f~s tM ~s~t ~f qy ~ilM~'/w//i. h~ tA~ ~s+.a~ Net~I. ?11 ll~~s - ~r• t~ (D+riK ~r t?Y) t~1- Aoo~[!3 tL. MR fNw[0 •~a~1~1t a ~.H. Hi~iOh• K.D. ~ DtlilriT'~ ~ll/r. 6- -~1~ s~•er. t•. . w~¦w.w~~. ?a~rr~nw. t~. arc zk. n~MS ar ce+r[rrRr ~ c»c~u?~r tL. wut~ tctic~, aw+.. w~wr.~~ l~r~r) ~+~¦~Oir'~~ Ji~t 2 1 C,~al' Hill Gl~t• A[3 ` D.C • ~.~.t~ia ti. s { f f. !~c!y~'!.'~ , . - - • _ ~ ~r ri. ~?n ~cco. ~r uocK ~s. : a...s.,• d~ M` ~,Tats# ~'t. Pi~ra• 1Ra. 6-24-b~. ' • Lsi D~ie«a d.r. \ ~ S ~ f - ~ . . . ~ . ; : . - `~;d-~ , F. scr!~~-~~ cerr " 1N ~~~~~lll ECt?RO ~P4Y ~Y , thi's-1~ e tru~ argd tottec4 oopy of the local ~0 ~':R~pi~ra~'s ~~:~M th~ St. lucie Caunty Health Depart- 8 ~ QK ~nie~ , at Fo~t~ P~~., fl~;tt~ {Wetn r~~f't4~~~v~3c~unless uised se~t of th~ St. lucie 66 J~N 28 :x~z' ~I~i~fy :F1f~h~ Otpartr~nent is affixed.) ~ ~ . 38 r : ; ` ROG~R p ~~`3S`~ - ~ ,i. ~f~,.~. ~V. D. MILIER, M. D. Sr ~uC'~RQ$, C~~RK _ ~ ~ . ~ County Health Officer ~ locai Regi:trar CC~Uly , _ . ' FLORIDq rY• '~~,`'~~.:crr~i,'1,{,~r+~ ~s~M ~.s•-~t.~.a.~.~l1?_ ~ ~ ! ~ - , j ~ : . ~P~Y loca{ Rpi~trao ~ . p R , , goaK~~3 l. 158 . _ _ , _ ,.~~r ~_YR.~._.~__..~_