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Y CERTIFICATE OF DEATH M^J ` ` ~ ~ ~
FLORIDA /JO~~~
iroE IOCAL IIIE NO. 74Q 3TATFiKE NO.
' pR OHINT DECfPENT-t1~uE f~HS~ YiODIE UST SEY DATE Os OEA*M Wo Di~ Y~ ~
BIACK
~E , EDITH GAIL NEWMAN zFemale , Nov. 1,1984 -
~A ~ K M~C~E-ye~ pq 1Mrb &KL AGE -1Las1 &rtnW~ UNDER 1 YEAR UNOER 1 OAY DATE OF 81RTHIW DaY. Y~ 1 CWHTY Of pFATH
:N~TRUCTIONS ~~lli~e •hl V~, .
~ ~ o,,,~ YINS 6 Jul 19 1917 St. Lucie
660 3 CIiY TOMM OR LOCAt10N pi OEATH HOSPITA~ pA OiHER INSTITU110N-Nam~ fil not ~n a~7wr. prv~ urNl yb nurnpwl iF NOSP OH INST I~~W~t~tf DOA.
ov,e~r r~.~,ww~+rswc+r~
,e Port St. Lucie 3272 Monte Vista~ Street ~a N A
~ 57ATE OF &NTHlllnol r~ CITIZEH Of MMAT COUNTRY WRfiIED, NEVER WRR~ED StiRVtVWG ~~tAE fll~d~. {pv~ ~n~4tn nam~~
us..~,~,.~o~.wri Mnooweo.awaceo~«.h, Morris E.'
;~~~;,~p,~ , New York 9 USA ro Married
~~SiiTUT~ON gpCUL SECURITY NUMBfR USWt OCCUP~T~(Gn. Arw w.o~~ ao~r aw~ny KI~ OF Blj$INE$$ Qq 1?~qIJSTRr
. '~EE WINOBOOK w~Of/d~Orf~rg!/l f~MJMM~tlI
~ec~Aar~c priv +s~
~.OV~IETtONOf 076-07-5412
~ ~E S~Df ~CE ~TENS qEStOENCE-S1ATE COUNTt' C~T~'. TOWN OR LOCATiON STREET AND NlplBER INSIpE C1TY UMITS
~ ISOK'I~' MH p NO)
,k ,.3272 Monte Vista St. Yes
Y
FATriER-NAYE i1R5T WOOIE LAST IJOTHER-t.WpEHNAME i1i~ST WpOLE LAST
" ,S Arthur H. Frank ~6 Maude M Lan enbach '
i MIFORi1ANT-NAMEI lypror Anf1 NAILIN(; Ap01tE5S SiREET OR R f O. NO GITY OR TOWN sT~TE3 34 5 2 Z~P
_ Morris Newman ,~3272 Monte Vi ci F id
f 811R:A1. CfiEWT1ON. qElipYAI.OTNEH75PK~~)/ G~~~O~~tAT~R~MYAE te, LOCATION CRY QR TOWN STATE
'ry111 Stuart Floricla 33497
_ Cremation Cremator .
~ T°p~s'9""""'' "'"E"""1O1i~lallace & White Fufl~~l Home
s 961 Colorado Ave. Stuart Florida 33497
t To IM Dfsl Of my t IM Ii~M. p4t~ ane! Ou~ t 21• On the 4if~s ol e~am~nltw~ ~nd~Cr mYest+¢{t~pn. ~n my ppnw~ dfWW~ ptcurrla ~t Ih!
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~ _ „ pATE SIGNEO14D. O~Y. Y HOUR OF OEATM OAIE SIGNED fMa. Ory. Yr ) NOUR OF DEATM
_ 7:35 A.
tl~ pp ~ ~ M Y< Zl~ 21c M
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_ EF NAYE OF ATTENDWG PHYSI IAN IF OTHER ihUN CERTIf~ER fTrpe o. Pn~r, Epy VRONOUNCEO OEAD f4o. Or~. Y. i PRONOWGED DEAOI~bw1
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~ ~ ~ ?Od ?~a ON 2ls ~T til .
4 = NA!/E AND AD0~1ES$ OF CEP.i1FtER ~PHYSICIAN 41EOICAL EXANIHER) I~rpe O~ p~~nl{ ~
e= n Anson Buttles, M.D., 417 Balboa Ave., Stuart, Florida 33494
- REGiSTRAR ~ DATE RECE~VED BY REG~STqAq ~yp. Oay Y~ 1 ~ '
- ,:,,a,,s ~ . :b November 1, 19 8 4
ayv ~ ~Me.vai oec.ee.~ o/nn ano oeam
.~~CNGAVE 2~ ~At4tE01A CAU ll~f_MTfAOMLI' ~uSEPEpuIVEfOAr~~.iO~.ANDrci) .
p;SE TO 1A11T U~ I~~~f ' I E.
~v~/EOiATE ~ `~r~ _
-A'JSE lal I IMlrvY DCh1'Mf1 WUM OtMH
S'AT~rtG THE OUE TO. pA ~5 A CONSEOUENCE OF
cNDE~1LVWG I
~'~USE lAST .
t'. ID) 1
~ DUE TO Op AS A CONSEOi1ENCE Oc ~ ~~~ens~ De~.een a+sN sn0 Ce~tn ~
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?A~'~ DTMEN ? OO~TI~i$-=d~000'Y CO~'~tAM~p b OI~N Oul Kt rI~Y010 CaRf Oven a~ PAqT 1(y ~A11T cEwLE w^S MERE • ~11~OP5~ ~SE REFE~~O T01JE~/1l
! e vRECaNM~CV N T~iE vASt 3 YONtt6'~ ~ a ro) E1Wt,7+ER (Sp~o1y ~r a~q
/ T ~1' rn : _ N~[ n No ~ No
~ C~OfNT. SUiCiDE a OAiE OF OEATMfYO.Oiy. Y•./ MOUA OF ~WURr DESCRIBE MOW ~HJtIR'/ OGGiJRRED -
~ ?+01~NG aUNOETEpWNED/Sprc•y~
?7a 27D t)c M 270 -
~ -~S Fc.~^ 512.
~~p~ys INJURY AT WORKlSWCdr . PLACE Of LYJUNY-A1 lwrn~. IYm. tbeet. IKtory d1.ce LOGATIOH STREET OR R f O NO GTY Oq TOMM STATE
=>_a B2 taton res w nw w~a.p. eec ~SaKUr!
~^~',156t~ ?7~ 27( Zf
• . <
~ r~.b'1? a~titY this ro b. . tru. .nd oor~t aopy of Loc., '~yL~'Uv9~i
Rspl~trars raco?d on fi{a !n th~ St. lucie County HMhh O~MI- ~ ;
n~tt at Fort Pierte, Fiorida.
(VNsmir~y: Not valid unless raised seal of the St. Luci~
County Health Dep~rtr~en~ is affix~d.) ~AY ~ 5 ~ ~:04 , :
N. D. MILLER, M. D.
County Health Officer i, t,oul ~pistr~r Lr f
i f~ ~J i. . ~ . :
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~ D~f~ D~P~~v Loul Rec+?••.+»
gooK 540 PAGE 989 .
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