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HomeMy WebLinkAbout0972 ~ y 1 - ~ '7210'76 ~ CEATIFICATE OF DEATH F~oa~oa .a~.~~ »o ~ ~pppK OECEDEMt-NAME RRSi y~ODIE IASt SEx 6ATE n~ DEAM~4o M. r~ P011 ws*m,cno..s , HAROLD SL'I.L I t'AN ~ 1~ 148 5 6602 pACE-eq W~~/tb:K~ AGE uerH~rtnfa~` UNCF.7tvE~q ~X+DEpiD~r OATEO~P~RTN11Ue Ua/ 1'~. CpUN1YO~DEATH _ Whiie~ rs~,,,, y ~72, ~ os , o~~s ~ ups 1. M,vs 6 OV ~ CiTY TOMM Ok IOCAT1pN pF DEAlM HOSW TAl OA OT~tER fN5' ~TUTION ~ Wme~R nor ~n sdnp q~re s.•~~er anu n~mpir~ 1~ NGSP GA ~NST ~ a-• ~ 7~1 01~ Eme. Rm i~pa'r' ,~ort Pierce 1903 Binn ~a n/a STATECJFBIRTHI~Inpt:n C~Ti2ENOfNMATCOUHTqY MARRIEDNEVERMARRIED $URVtY~kGSPOUSEi//r~!Y.y~r~mi.d~nnarn~, T~ USA.na~++counr~~t WiDOWED D~VORCEO~SCe.,rr~ sMissouri U.S.A. ~o Married i~ * SOCUISECUiUTYNUMBER USUAIOCCUFATIONM~~~M.nOO~~o~?ao.wCor-ng K~NOO~BUS~NESSOqtNDUStRv B~ ~+~o:ro~.c~..,,q~,r. e.e~,rni,~w~ „337-10-3434A Time Kee er RES~DE?tCE- STATE COUNiY C1TY. TOWM OR LOC/~TION STRFET ANO NUMBER ~!.5~?E C~T v.' : ,S;vc.•, ~n `~c 14 _ ,~'lorida St. Lucie ,k Ft. Pierce ~•a Yes ~ FATHER-HAME FIR$T MlppLE LAST MOTNER-MAIDENNAME ~IRST M~ODLE L~Si " ~s Lawrence Sullivan ~e > • INPORYANT--?:q1dElT~p~y~r~nN MAi~INGApOAE55 STNEE7C~7R~DN0 C~T~OQTOWN 5(ATE ' „~tary Ellen Sullivan 1903 Bi 6tIRiAL.CpEhAAT1pN.REYOVAL OTHER,S~eotyi ~CEME.TERYORCREMATORY-NAME 'ICUCATfO.+ CiTY(k97priN Si4?E ; 18a ; ,e~Cremation ~eoFort Pierce Crematorium F~,r~- PiPr~a~ F1cLi~a ~ cur~a?~_ o~~c s9~.~~, 550 ~ Fw~ew.~ Mo+~r$AIIZD FL~IEF.AL H0:'lE "a~Ress o ~ ' ~ , ~ ',x 901 :lorth Seventh Street F r P ~ ~ ~ 2h To ~M Dett ot m~ ~no.rseage. ~ea!n,xw.red a tr m~ a;e a.~ D`a:e a^n ox :ta On trF Cas~s et e.ar..:rut~on ar~~or ~,n.est~.qat.on ~n m~ oC•r.~ ~cat'~ ~x-: •e' to tM c~uteis! SqteO a ~ t~me tlatt a:-0 G~ace an0 a,:e to t~e cause•s, S:ated : M lf~P~M~~ ~n0 TIIY) ~ ~ (L :~1 . ~ . ° Z (Sq^Mw~ ~n0 TNM) ~ i ! ! _ DATE SIGNEOIYO. Cay Yr ~ NQ(jR pf pEaTM ax L~ATE 5!Gr1ED 't•O Uar Y~ ' ~!OUR OF OEa7H W ~ ~x~ June 3, 1985 ~ 8:30 P. M a,o ~ ~ E~ NAME OF ATTENOING ~+vS~C:AN IF OiMER THI~N CEp?«iER ~T.pe c~ Pr ~r. ARONCU+VrED GEA;; -Rl,~ [i~r ~~r; P17!,'tiUUtiCEC~EAp~r~~..,,~ _ rY " U ?OC i+0 OY ?te A7 V - NAMEANDApCRE550FCFRT~itfR;PM~$!C'~.N A~1ED-ULEK~MiNER1llrpeo'p',^'i - ZZ CHI HIOL' LIli ~t.D 11J2 olonnades Drive Fort Pierce Florida 33450 ~ FEG~S7pAP. ~AtE~+ECE~vEGBvREGtSTFAR~4I~ Day ! . ~ 73a!S~g~s~~~s~~ • ~ • ~r ~ ~`t: jz,.. June 4 r 1985 7~ u.tMEO~ATECAU ~£N'ERONI~ONFGAUSfP FOA~a; ~r~;ir:., ~~^:r~.tW~•.re~~;.-v'r" I ?urr ~ G` } G t!' C~~v~t,L ^ ~ - [YUE 7C. OR AS A CON EC;iENCE OF^ !iui~5) ~MCh 93v! ~48 tO CaoSC !ai - L~St cn~}fY!y^,g a~5e '0S) ~ I^.'!'.l. Dl:ws.P" :'SE' d' C[-. ' ~ ) ~L ~ (01 ~ il Pt L l~f,~ ( '7r <<(. C t ~ • 7 L I _ ~eG ` ~ / a: ~e:wee- .y.se• _ i•- CUE'G.OAASACOHSEGUE~+eGEOY'4 4~, ~ L y~ ~ C, ~IC• ~'r.+?•, 24 " - IAIIT EaV;..F~Cl~r.r~._i.~' . r . •b _x,.. ..r~~ . .j: , .:t-' ~MTw~i .».E sS •Lcf.. ~ - - . _ _ ,~u . - _ v- . . 27f_ • TVO ~ `NO . ~P~a'~~'Y1 A~~-~D£HT SU~CIDE G~ DATE OF If1„~;'7Y (Iy{p ,[~.yY. If I /~;jJR C'F 1yJ:.'qV DESCP~OE M'vY/ ~~..;U~Y O~C _'RA[D 279 HOMICipE :xtH~DETER~IIr,rtD;Spsc~ry~ Z7e 2iD 2. NRS Fa~m 5,J12Y. tH~trar nT WOpK rSO~efr PIACE Oi INJU~7~ - A! ~.vne !am, strKt 'Mto~y ^rr r~ LGG~T~ON J STREET C p R F D KO GTV ^R 7O.:N ~U~ ~~~J~i YrI (,v NOl G'... A.-~^y e'c ~ JD¢r~~~ i - ' ~tBVK~Uf ~Wf10fls 17~ 2~1 es Of 1231$4 ~ r?..~y a~rth~ mr ro be s true enci eo?r~tt cop~? ot th~ wca~ Rpishrara record on file in the St. lucie Gounry Health DepaA- n msnt et Fon Pierce, Ftorida. Aa ;.7~ L~ (VYarning: Not va!id un:e~ •a+se~' seal of the St. Luci~ County Heaith r~ . ,.sr-ent is affi,ced.) ; , . - . . f ILE°~ . ~ , . k~K > i~OGEK ~ N. D. M:LIfR, M. O. ~ ' ST. LUC•E: ~C'`~'~'. l County Fieafth Oft:~er d~' ~i ~egiEfrn~ ~ ~ ~ - ~ , ~21p'~6 , o~r c«~) a.ot,r.,,, ' ` ' ' . . ~ r - ao~~ 474 PAcE 9~ : ~ . . _ ~ - ~ _