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HomeMy WebLinkAbout0962 ~ CERTIFtCATE OF DEATH ~0836 NOV ? 19~ ~oc.~ s~~E Ho 7 II~ F L O R 1 D A gt~tE i4f NO C~- 1 . . , 4 ~ ~ ,A ~1'l~II:INI .:.1,1i 1:r~.t /,1.:... •R.. '.1+~ I~AI!',1[;l.11111~•~ 1~... r . `a:;<,K ~ K~ttl~ricl~ - - - T Ca~e~- - :~'ema.le ~ _SeQt1 a_ 12_~_ 1 34 - - s-- ~ i.~~~ J.r t.. 1f ..1 ...~.if~~i• ~ I~r.,;ll~ ~.r.af~ t ~ 1~:.• 'I,ail ~.1 i1.••'~~.~'., f~~. ~~ilYTrlii I,EAir~ . ',.~T~ONJ F,. ..f...~ rr, .ti~<- . ( Y~. 1 1 j r.~ir, t,a~ . i ~.er. ,White , i__.7~_ 1 sE. ' __I_.____,_ August 1L 1Q10_~. St. Luci .~~1v f(?N1il:NLlN.41'~~;t~t~f l.t.:7/1 I/I~~I~Iin. ~.I~llll~F11~11`.•if'Jiiv~l M.~..~. ~I,.:.r.~,r~:I~rr ij.r~r~.•r!~~"1.~..-r...C'. n7`~V 1)I/i!.~.1 . r.)liA ~ ~ ~ 0 6 0 2 E,,., ~ , : . ~ p Fort Pierce_ ,~Lakmxood Medical Center____ DOA '~IATf (~f BWii~r/,.nr „ Fr.~.: ~;~.At (,.~~r.t~ i t,i~,f~ '.(:ERr~ni~.:FD _•.,~~:.:~r~;,`.~~~.~:~.E•~'.,~r g....~..r,~.~.~..~~ uSA ~.an ..~~rr~. . . : f~; I~,i.::tir(; - PNew York rU.S.A. Married_ John Case .ti Sl)~:IAl1ECUHIiYNU~.!(i[~i ~15•.IA;t~i.~,.1{•A'I~.)I~.t . . K1/~(JV(yJJINE'~`~(.~~~NI:U7ifiY I ~~'i . w . '1:r. ~r-,l. 100-26-878~ House-Wife ~~b Own-Home ' ~)c r--~- ~ - - ~!~iiCE C~Tv uM:TS .t:'eti~5 Nfti~GE~i::E SiatE , NTV (,iir TO::V~~N~i!~.ar:[.~. S~HEETA•~Dtr,.ME3Efi ~SY[ ~y ?tf 7Y0~ ,.,Florida St. Lu~ie ,k Port St. Lucie ~.a 62 Beach Ave ~u no GAT~~E~~ NAME ~i~~ST :!:C~~LE l~5'• ti•')~~~E•i ~'A:LENNAME fIRST M~DD'.E LAST „ .Toseph Simone ,r Raffaela Sarano iNFUf3WANT f~41lE ~ f~pe o. P~.,~r ~ 6U!~~NG A;;.',NE SS 5~ AEE' OH H F p NO C~TV OR Tp1NN SU~E 1'~ John Casey j,~~ 623 Beach Ave. , Po~t St. Lucie, Florida 'i'i452 BURIA~ GRr'M~?TiON REti~~vAL OT~+EH.Spec:~r~ rE~.~E'E~r~~RCAE`~~1T'.:R~ ~:-!•E iLOCATiON C~'VORtOriN STATE Burial ,8~, White City Cemetery F`t. Pierce, Florida o. . fUNERAID~HECjOH .Sq~~J G~,NcRa:_r~;,UE B~ PO11i S~ A~iAES~ Roger L. y . t,ucie Funeral Home +9a ? / L~ ~ ~ io~ p i ?OS i e bcz~ e~ m, irow ~ ~N•n ~cc~.ree a~ me •.Te oa•e a~~a p'a_.. a^o ~:_e t 2~~ On ere oas:s r-n~n~rar:on a~a o. ~~.e•nq~t.on m my cn:r:on Oe~!~ uc..••~o a~ ~~e ~V lOV.lQuSNS151~'e~ / sr !.me aa~e a^o e'nce an0 ave ~o me cause~si stuM 's> (f'q"'4"• .na TAw) ? /~'l-L ~ ~ l. : < /yl ~ i ( sqnNw. ana n~N) ? t1 3 DAtE S~G C. t~~. Dir rr 1 N~'J~ OF OE ~ C~'E S':.'.ED ~~VO Dar r. , MOUR OF OEAlN :s ~x 9s 15 A.M. M n a n a M 1 . E~"-„ NAME ATTE~~~~.~t~~ ~YSICIIIN 1[ QrHER THPN CEPT:~i~F ~ l~pe o• P~.~! ~ W PP;~~JC;:l~~CED CEArJ ~4i DIS Y~ . DR~7ho:.rnc~o oE~o ~o~~, j FU n/a' r' 7': ~N n C~. 71! AT n a M ~ NAME AVOA^C%.ESS OF Cia!~F~~R iPHVSlC~AN MEC'CaL EXA'JIN~%7~ ~ ~rJ! J' G"', I zz E~ick K. Young, MD 1701 .E. Hillmoor Drive Port St. Lucie I~'l.a. ' 2 ~ . ~ RE ~~ST~nR • ' ~ D~TE FECE~vED 6v aE ;~STpAR •M~ G~r , i ~ - I~,~ September 13, 1984 ~ - ' 73a . S ~..d,~,~, ~ - • ~ - ~ ~ ' ~ . . - <i iMM~C!ATECAUSE '£N~EROYLrONFCAUS fRU'~r~eK,~. ~~.D c ~ Ilr;rr.a!Le~wre~crxta~0:au~ ' I ~ " _ ~ .u~T ~ ~ L.`~~;.t ~t~ L L..~' r ~ 'r' DuE r0 OQ n5 ~ CC'+SEOVENCE OF !~-~er.a~ oe~..e~~ c^set an~ ~.a~r ~ r~~ y`:cc~ _1 ~~.c_ ,"<t,~.L•-~ ; .~'.;E TO va i5 A CJNSEO.,E*.CE OF I!~..~,.a: Gerr~c=~ c:rse: a-~ :ea" ~ ~A11T ^ ~ c. ~~.F ~.1'~i t,"IS ~ _^C':'SCO....:i: : ^.ti'.• . .,..ld'.~:'~ r3~st ).e ~ G>c' , ~d i~AT 0 F c_ _ ~ncR_ ? ' ,Y? _:.Si :J:t~~c J i~l fJic~J' ~ • ~ - 3 _ . - ' . ~ ~ ~ ~ ~.ar.~~ c•S'JM7."r3' sy-o~ Ea.:V:!.;n(SM .esc~~_' ` t ~ " ~ ~5 no no ~~~^oa~ y~ aCGD Su~C~DE o~ DA7E OF INJURV (MO. Oiy. Yr1 H~U•~ !~+JURr CE~CA BE riGW ~N:UPV C....~FRED ~ reOhliUuE o~IfVDETE:7MiNEO~Spenh~ ~ _ ~-a ?7r, 7~c 7'~ t . _ i`~, ;N;~,~v A? W~RK SDec~~r ~L~CE OF It~JURY Ai no~^e ra.m. s•reet ~a~.•o.~. o ,Cgi'..O'. S~aEE ~ C~ R~ p ti;i C~T~ OR 7~~~.YN ~T~!E Ytz o~ No; ..~,~'Oi: a e:c ~ SDec~'I ' - Z•n zll 77 e ~ ~ ~ NOV 16 A10:37 ~ ~ ~ n~rrby certity tha to be • trw and corr~ct ' ~ Rapistrars rscord on fife In the St. lucie Coun~~~ ~I~ m~nf at Fon P~er~. Flortda. aPart• STG~ ~ . U . LU,,; (VYsrr,iny: Not valid unless raised ' ' ~ County Heaith De~;art~~ent~;s' f xed.~t. L~~ 6'~~8i~6 _ ~ ~ N. D. MlLLER, /V~_ p. ' ",j ; - ~ ~ ~ ~ry Health p{f;~~ ~ - . " ~ pittrar ~ ' r ~L ~ l' . ~ ? ~ ~ . , ' g n i / . . ~ ~ IS~~C'7 ~ Local R.cr~•.~ ~ ~ ~ ~~l,~ ~~v Y!~~E . z ~ ~ ~ ~~K ~:R~ ~ ~