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HomeMy WebLinkAbout0970 ~ ' 6I30842 CERT1FiCATE OF DEATH ioui m~ .w. ~ ~ F l O R t D A sun m~ we. '~if D~CIDINi~lIAY! ~it31 MIOOI! USi S!Y O?1( Ot D[A1M /M~.. D'~. r..J .^,t ~21fvT FIARNER B. ~ Male ~ Oct 1 84 . =-`u wc ~.ct-...~., w~.•. u«?. wct-~..~ r.+a.. aNa~ ~~~,e u.on ~ o,r wu or ~.~IM IB... Y.r. I..t cow~• or oa~M 1 l1~ w~w, nt.) ts~esJ~! e 1.. ~ np3TTpi~rl MOUq w~ ,i O~ 3~. 87 f\ ~ St. ~ 11 1~ 7~ ~~if, iOWN W IOCAT WN 0/ ptAM MOSIIIAI 01 OMI~ ~~411IU11p~J-_rNwr /I/ w u wb., r.•.~ ..l ..N..I 1/ 10Y. 01 ~MT. I~w.as•~ DO• . WJI~.•. l.. , ~+~w~.•,. ~S~•..~, . S Martin Me~norial Hos ital a~ u..u a unxt!~,« ~ a~~uN or vr~..~ car+n. Y~H~tO. MIV[l YA~~~lO. SWvIVING S?OVSt ..a. n.. ,•.r••••~.• y.7_1., we ~.~~v~1 wlpONflO. dVOtClO /fIKd.1 ..,45.o+..~t ~New H hire U.S.A. 1e. Married Anita Ricoo ~ ~~'.+E CECEwSfD . EJ ~r DE~iN SOC~aI 1lC1N~(t N17M~tt 1AU~l OCCW~IAN (C.« L:+1 •f w~ 1... M..~t tn+0 W Mll~wifl O~ ~M~lAlf~ : a i o , ..r a.. .I ......i, 267-24-8021 Owner/ rator ~•.Real Fstate & Insurance vND! On i~••`ri - .^.v ~FLDINCl--StAi! CONwI? Ut~. IOWN O! IOCAfIpH Sl~Eti ~NO NUM~It Ifi•~.1. 1.... ~y~ Florida ~••Martin Jensen Beach ~•a3350 NE Indi.an River Dr. No fATMf~~1't~li~ fllfl MI~IE lKl 4~IMl!-4AIO(N NAN~ /ILS~ Yl~l~ l~~ ,s. Charles N. Tilton Anna Warner ~tiro~wuHr_wwt rstn r r.wr ~u,~~+~.~. watu snur w t.~-o- .+o ur. o~ ~ow~+ sr.u t. Anita Tilton ~4acha Post Office Box 1227 Jensen Beach Florida 33457 Nl~~~t. C~l~iION. ~(Mpv/11.O1M!! /t~~:l.l CtutiE~Y Q~ C~t4~tp~r-NAYt ~p(~11pN CIIr pa tQM'N 7Rwt( ~b Burial All Saints C~~ete Jensen Beach Florida , . rwtui a~eva~s........, ~u•,ea.i w,.t AYOOC'iC FZJI~RAL HQ[~ ~na+cu ,M_ 950 NE Gannercial Street, Jensen Beach Florida 33957 7'D~. i~ Ar Mu nr 11r~~ .~w~l. ~cv.W +r ~.w~. M~~ ~nd Mr[/:~wd M»+y ZI~. O+ M Ma~ ~1 ~.wrr.~w ~wd~« r..~~~~N~w. +~7 N+~ dru~ ~cc.n~~d e~ ~.~.r i w~.~a .r~... ~ - i^ / ~ r... ..y w.. w a,. ~«..i.i ..as. ju ~s~wr. w iwy / , = j ttM~w. w nuy ~ +M =E~ W,IE SIGN[D /M... G... I~..I ~~OUI p! p(~M ~ pAII LC~EO /V... 0... )..I Npt/~ Of O[~iM ! ~j ~ 8:OOA 3 " --y- f~ N~a~EOfMir+O,~GMrrSt~ww~rOtNtet~waC[at~tiEtlf~?..~n..U jb ~~O~+OI!!+CEQOE~~rv...rw..~..r ~eO~+OU~+Cl00[~O~w...i . f 'w ~1~ Af 20d. 21 ON wu+E w+O ~00~[SS W Cflt~i~E~ 1~?SK~~n. ~fWUI [x~w~Nle~ If~~. r~.wi t~. Donald E. Noble, r1.D., SO E. Osceola Avenue Stuart Florida 33494 ~Fas,..~ ~ wu ~a V[O ~lGlSfl~~ lY~., Ml. rr.l • 9 ~9~ :!I~~rS I7~. fS4w•.e1 _ _ aci ' Iwyr.et M~.~~+ rs~~ e+~A a.o~ ~ WvE ~~EDUIE UUSE (~1F.R O~LY 0~[ C~USL If~ 1 ~ h/. .i]C r - I . . ~,'~~~~ET,°'E r~u Nl ~/,~Ci{~~1./1J1.~`.5^!i~`"' ~ Cf?`-"G~ C~-~C~Cl ~~C~t./~~~``""`~ I <~.,,~r iHt ~ .~EO~.uX, dtt t0. O~ At A C,Qr4LOVfNCE O). ' ~~~•~.el M.~.••~ ew e•o•• ~~54 l~.Sf 1 ~ ~ ~ ~~-i~- ~ ~ ~ -~--1 i~y~vsl Me..~w o...r e.d e.a.. j OY! i0. Oi A COHSE0IJE~KE O(. ~ ~ ' ! ^ ~f ~ 1 j ~ kl k ry y dro~bW ew nbrW N ew.N O~~+w .w /~~f 1 pl ~UTWSY (Si.../. w~5 USF ~f fFttfD t0 4EDiUt ~ y~ ~~iT 011~f\ SIGNIiIUNI CpAli1QNS-CMd.e.~w~ ewr~bv~ ~ n :1 ~ _ r ..l ts~rur.~E~ !3?.a.h r.. r e.i n. No N O p..eeW,i Kootki, w~ant a o~tE ~wutr ~w.., a~. r..1 Noue oc ~wv~r DESte~~E ~qw u+~V~r OCCVU[D ~ wMK~ot: «u.ctTiuuNto ra~«:n~ ~ ! z~.. n?. n~_ M ne. ~tiiwr ~r wwc ~ai..,h r.. rutt or iwue~~~ w~... ~~a. .~~K. e,..w~w. ~ouria+ StlEET Q! [.f.0. W- Ui't Ot TOwH sr,-~ - 5:1. vlly eR.73J•~J77 ~ ' 'o~. I _ ~~'.S n., ni. r~- j . - .-:~e!:i 6t F ~ ( I hereby certify this to be a true and ~ correct copy of the Local Regisr_rar's ~ record on file in the Martin County ~ Health Department in Stuart, Florida. ~ ~ , ! - ~ , t . _ (Warning: Not valid unless raised seal of the F , Martin County Health ~epartment is affixed.) 'c . - ~ ' . Kathleen Muller, M.D. ~ : : . County Health Officer & Local Registrar ~ " ~ s ~ ,1 . / , . ~ I ~ av 1 ~j ~ ~-e~-c e,G~, ~ _~1 .=•~r~-~'` Date Deputy Local R gistrar , ' • ' . ~ ' 6130842 '84 N01' 16 A10 ~39 ~ ~ ~ F! U ~ lE0 r ROGER > ' ~ . ~ ~ ~ SL L~~!i_ . ~ ~ ~ E ~11'K ~SGE ~9 ~ - ~ ; ~ ~ ~,~~`.~~.r _ ~ o-=. ~ -