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/ ~ 1 ~SO'7 Re; Apartment B, Building 1206, of Phase XV, Section II, HIGH POINT OF FORT PIERCE CONDOMINIUM, according to the Declaration of Condominium thereof, as recorded in O.R. Book 304, Page 1396, and amendments as recorded in O.R. Book 327, Page 1137, Public Records of St. Lucie County, Florida. CERTIFICATE OF DEATH 4 9 7 F l O R 1 D A R.,, ,,u T~?f DE(t01~•.~_~.~rf Iilyl M~OOIf ~ WT Sta Mff W OIATMIr~.Ort. ~r./ W ?~i~.~ h~M , Harvey C. Seiple , Male , July 2, 1983 n.c¦ ,~.c uce a. ww.. .ce- ~~.o~~ .~e,. ~ o.. o.~~ or u~~~ ,v_, u... r. ~ cow~. o~ ot.rM •~'ifh~t.e„s,R~., ~~$p ?__°~•s March 20 1 St. Lucie `r1 . ~ k ~ . . 903 6V v3 C~r. ~Owti W ~OU~~p+ Oi D!•rw ~OY~I~t Ot orMl~ ~tist~r~t~O~a-w~• ii~ w......n r.w.~ ~OY O~ ~~+St i~wKw 00~. Port St. Lucie Port St. Lucie Convalescent Center a'E «..~s ~npa~ien~~ Sr~t~ pf ~i~rM ro..... c~~ir[~. or wwr cOU~~r~. wn~eo. r+tree wn+to. SWv~w'.G YQAt ~u ..a. o» •.w , Ohio ~ U.S.A. ,"~arr'~ed~~'«~'~~ „ Nelle Coder .~~~o~.~~ w~.c~t ofcE.uo i~.:tD :r Cf••~ SOC~~i SFN~~r• tiu~r~tf vSU~i OCM~t~d+r~... w~ h..I....~ •~~O W~fS~tiflt O~ ~~uSttr «"'~E°'~ 274-36-8663 Physic'I"aii Osteopathic ~~4n~u~~ G~ve ~fLDE`.Cf ~lWtf ~Y ~ ?~Y~1.~0~+ ~ tEl:Dl~+Ct~t~it (ry~~.t+ (~iv tOVr+~ d lOUtpN t~ttt ~rQ W~?~!~ itiYDF C~n ~irity If?n.l. 1. .r ,b Florida ,y St. Lucie Fort Pierce 1206 B.S. Lakes E~d Dr. no {~1wF~--•JME iiKT Vt~pl( l~Si YOTM~~-W~OfN NAY~ [IK• M~~IE ~ „ Albert Seip? e Anne Harvey ~ ~'.~C~V~h: --~.~YE /I.~r s. I..~•~ ~IIMG •OOff1S 3'~ffT Q~ O ~'Q ~~It O! IQM'M STAI( ZI/ „Mrs. Nelle Seiple ~n 1206 B.S. Lakes F~d Dr., Fort Pierce, F1. 334j0 1 ~ h,r.t C~EM~'~0~. ~lrqv~L O*~f~ ~5~.~.~.. Cewltt~• O~ C~W~rJ~r-r.~Yt tOUrip. C~t• O~ rpwa St~tE ~ _ Removal~Burial Crown Hill Burial Park Dienna To~nship~ Ohio : . = . o~.~~•ow,.,.~..., ~..E oger . o . eral Home j ` ? ; i--. ~ •r , ~.t~l 8516 S. Fed. Hxy., 'Port St. Lucie, Fl. 33452 II e~ ti~4 e a •~+~e ao~e w.a W«~ oM e~w o~rr 7~~. O~ ~^e ln~~~ ~.r.ro•~an oM w.•wv~9o• ~o ~ e.~ ew~~w oc~wnd a~N r..w ~ _ ~~e'~' .1 ~VYn Ae+~ OM WK~ oM AM ro ~N 1.. .a~ee ~ /~J ~ ~ sL 1~M~...r tw / _ . p s t"'n ~ A/ ~ t D~rF S~V.ED ~ V.. 0... 1. , O~ Dl~Tr~ ~ WiF SK~EO IV.. Ui,.. 1. ~ ~btl~ Of DEAfN ` L y ~ ~ ; 7/ ~1 ~p ~ - 11 t15 _ P. ~ n~a n~a - M . ~ j~ ~4[ O~ ~rr(r:p:vp rs~rpCuq if O1NEt 71Y~v CEfTi{I~f !1~)r r p«vi j= ?~n+CfD OF~D ~ v.. rti,. , :~OvOU~+fto W~O ~ M~..~ ~ . i ~ ~ ~ n/a )ld. Or. n/a - 21e •T n/G3. M ti~/+f ~~+9 ~'JWFSS O~ CE~t~~if~ th~~S~O~N, MED~UI I%AY~NIl1 /IrN r~•...i • „~ic K. Young, M.D.~ 9507 S. Fed. Hxy., Port St. Lucie, F1. 33452 ; f tFG~Si~~f . i WTt /ECFVED 1EG~1'!~~ i V.. 0... t. i . : f ~3e - ty , ' i~ 2 f~ , ~ ~ ~ tY ` J~ily 5, 1983 :OW~,•~d.5 - - - - -=r-==-=-__--.- - - - - . .ti. ~ - ~ - i....a~ e.~...,, wN ow e..w Nw CN;,a-.t .w~+fD~~•L C~vlf -~y I/\~~A O{f / O\/ / IL-51 /IR 11\1 !OR l~i. l1• /r1I I ~ Sf 'O ~ ~ : ~rED e.t ~.Sf ~ , ~Yt . ~`~'~.y - 1 S'~• ti twF _ - K.+ . v.CE~..~•.G OVf 70 C1 ~S ~ CO~.SEO~E~~Cf Cr I~^ ..c: W+e~w ww• eM drs~M UulE :4S' ' ~b~ ~d~~c:-7 ~~~P!~-_ ~ tSrc:.~~ , ~ ~ Wf 70 O~ ~S ~ CO*.YfQ:fr+Cf C~ ~~•y~vs+ De+w~ a.wr e~e ~~h 1 . ia - --1 _ 1A[i OiKft ;~G~:~~C(~'.T CW.Oir~O~.S-Ge.~~.• ~<w,...~n io~ ~n ~ ~atiA ti cw~w *•.r~ r~~T ~ io._--.-.- -~u'OKr r5~.~.~. .~ay USE ![~E1~FD TO wED~Gt 11 ..s. El~4~nEf Ic~.c.•. 1.. \.i n~c~zc ~~~c~'~c v~~~z.~~e C m.~,~.e „ no „ no ~ ir.ema.i acc~aetit. su~t~ot « o.rt or ~ww~ rr... a.. r. ~ Hp» o~ i~uxr ~tx~~~t .ow ~tinie• occu~~to ~OMK~DE ~•IK:OfTE~W~+fD ~S~..i.i no n~ r ne ~ !WU~r ~T wOfc rir.~•h 1.. r.wCE Of :~uIJ~T~?~ ~w~. bro.r. swo ~.,.y~p. iOUt~pN Stt[Fi q ~ i D h Crt~ C+ •Owv fTATE ~5 ~.T SU. .~c rS~Jr. ~ , ian i!. a~.. wcvs n. n~ n~ € ~e..~ vSi~~A ~ ~135~ ~ '85 ,~fA. -3 A10 :52 ~ f .~reuy cert~ty this ro t~e a rrue ana correct oopy ot the ~ ~eg,_rrar's record on `ile in the S?. luc~e Colinty Heatth D~R~I'1• FI"~ . ~ ment Fort P^_::e, F+o~~da. . R~G~~~ - ~ . ST. ~ (Y~ar~~~~ c~doT va;,d unfess ra~sed seal of_ the St. Lt~s ~ County Hesith Departr~ent -i~ a#~xed.) ~ _ ` _ ~ ~ N. D. MiIIER, ~1A. O. ~ ~ Counry heairh Off'~c~l+~~ local Registror ~ s G'.O•~. ~n~K~~~ PaGE ~ ~ / local R~o~~+•+~r- - - - - ~ • ~ ~ ~ i wM ~~YPICF.S OP S\F,F,D ie >fF.SSF.H. Y. A.,700 VI6C31\fA ~~'P.]L'E. SUITE S04-SUH HAtiK BLI1(3., Fi. PIERCE, T(ARIDA :13~iR0 (30S) JfiS-2330 ~ ~ ' ~ s~ ~ I - ' ~Y `~r'~..,.; ~ _ ~ ~-s~~-;z-.~,'.- 5