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HomeMy WebLinkAbout0990 i~ - i ~ ~ ~ ! r I ~ ~ . . • ,I • ' . ' ~ - r ~ ~ ~ ~ - ' • , . _ _ . . _ _ . _ . _ ` rnE J ~ `C; ~ - C~~~ ~ / ry ?y CERTIFICATE OF DEATH ' ~ocu suc +a. 888 I F' O A 1 D A e~ Niyp~pp~ OECEOENT-NAI,~E f~RST ~iDO~E IASr SEU O~TE OF DEwTM i1W p~~_ y, ~ .~snwcnowa , ~0" Pedro J. Santiago ?Male , August 29. 1985 MCE-~ q. NhM &i[t ACaE-l~st B~rtlW~y~ U~£N 1 YEM UNDER 1 OAY DATE OF e1RiH~1lO. OJY Yr / COtlN1Y Oi pEAT?1 ~s MCSD"'"' ~ ~'b' wrs ~ uas~ Mu+s ~July 4~ 1905 St. Lucie W~'iite ~ ~ CITY. TOVMl/ Oq LOCATION OF DEAiH 1yp$Pl7AL ON OTHEA IMST1TUilON-Wir~erN not 1n MrMr q,r~ ttrN~ arM n~unpH~ If Npyr pp INST Ilnp~c~tf ppA OP:E am. mtSWUIr! ~.St. Lucie ~.St. Lucie Hospital „ ~`mer.`~°~m. 7~ SIA7E OF &RTMltl/ror ~n CITIZEN OF WIiAi GOUNTRY WRp~ED. NEYEfi YARq~ED. SURVIVMIG SVOU$E 11I r.h. Q~ in~'O~n narrNl , Pueito R~co 9 USA ,o~"air~e~E~`~`~~ „ Maria A. Colon SOC1Al SECURITr MUWBEQ IISWI OCCWATIOMIGn~ ~aM d+w~ oar Owrg KII~ pF 9U51lIE$$ pp 1?~(/$TRY . ~atr o~ nortrg r.re. ~r~n d r~r~.~e~ t2 580-22-2245 CPA Disti2lries, Liquars RES~OEMCE-STATE COUMTY C~TY. TOWN OR IOCAT~Ot~I STREET ANp /ttWBEq ~NS+DE CliT IYUTS ,wFlorida Broward ,k Fort Laud~rdale ,~,1105 Mandarin Isle ;;;"'~'S~es Y , ~ II " FATMER-NAYE FIRST WQOCE tAST YOTNER-YA1pENHAME FiAST YlpptE IAST ~ ,S Meliton Santiago ,s Francisca Unknown ~ MIFORMAM7-NAYEllrM a Prr+?I YAtIlNG ApORESS STREEi pp q F O NO Cliv pi TpWN SiATE ZIV I~ ; Alberto J. Comas „p1516 S.W. 8th Avenue, Fort Lauderdale, Florida E'~ EURUL CREMATION. RQMpv~L, OTMEH iSp~uh~ CEMETEqv OR CnEMwTORV-WWE ~OC~nO.~ C~Tr pR 70v?Ti STwTE ; Burial ,,,Forest Lawn Mem Gdns Cen ~aI Fort Lauderda2e, Florida ~ Fu~rtaw~a+~croa~s~~iru..~ iu+en~u?~orE ~ooce~ss . . VeIlU~ ~ ~ _ Q F rest wn Funeral Home South Fort Lauderdale, Floride 20~ To tlr Oast W m~ t a~ sn0 p~ye~ Tta On ur Das.s d a.a.++~nae~on ana~a ~ ~ ify C1usN~1 abMO s~ trew. ONe s~W Ot~c~ an0 Ou~ w tne cauutsp staNa O~MI+ ocuxrW n b g r..l r ~ ~.~«+...w n.y ? QATE SKiNEDl1b. D~/. Yi.l MOUR OEATN DATE SIGNED !MO. Di~ Yr ~ HO~JA OF DEATM a ~ E - - S~ ~ IO:SS AM M i,e a,c e~ ~ j~ NAY Of ATTEI~ING R/VSIC~AM Ii OMEp TMAN CERTIFIER iTrp pr Or~nt) VRONOVNCED DEADl4b. Dey Y~! pRONOUNCFOOEAD{?IO~wI ~ ~ ~ ioa z~a ON 2u ~T y L NAYE IWp ApOpE$S Of CERTIFIER (PMYSICIAN 1EqCAL E%AM~NEA11i~p~ p pnnt~ i - Zz Dr. Robert Norton I~ 2215 Nebrasica Ave. ~ 3D, Ft. Pierce, Florida 33450 e RfG157RAR C[y~ D~7E aECEivED 8v REG~STRAR IMO. O+rr. vr ~ i _ Gr ~ o n„s,~,,,~,~, ~ S ub . Re g. z„ N IMYEpUTE CAUSE TEA LY ONE CAUSF PER C~NE fQR /il. lD~. AMD icJ j I Irq~r~1 p~rN~ pnMl ~nA q~~U ?M1r ~a) I - ~ - ~ ~ ~ w oirt io. on ~s o?u~oue?+ce oc ICa+oeaYU •~+~cn ~~w ~o aw W- w~ u,o«y.,p uw ~ :M...r w~.«~, o~an uw axn ~s c-~ Q C.cc ~ 1~jG'~Gt./ . pUE TO. OR AS A CONSEOUENCE OF I ImervM o~twNn ayM arp p~~tA 2d ~ c ~LRI OT1'ER $IGrpf~C lNT G'~p'1pF$('p~pe~ rpVp~Y~p p y~ y r~ot ,wy~ p~ t~y Q„~n n PAAT ~ iL 1MT ~ F FEMALE 1h~lS T/+EpE A ~UTOG$~ GISE qEFERREO TO YEPCAI ~ PnEfDN~?~CV w iKf i~ST I~eOHir~S" ~~.s v na E~W+EA fSO+~r ~w a rol i71_ r~s _ w ~w n ~ NO ~oroD~e+til ACGOEr+7. SU!C~OE w pATE OF IWUf1Y (Yp., Qy, Yr.) MOUFi O~ ~ Wtpir DfSCR~gF HOYY ~H,1uRr OCCVRRED ~ ~T~ ~~0~/~GDE. a UNDEtER1~uHEDfSpc~h/ 2T~ 77b 27C Mt 2T0 K~s Fam 'S~2' tNJVitY A7 YMQfiK (SpKdy PLACE OF INJUqY-AI NOnN. I~rtn. 7hN1 f~ttpry, Off.c1 LOCA?ION STREET Op R f D MO CITY QR TOWN STATE ,i;tt &t (Ob~OUtp r~s a no: w.w.nq Nc ~SoK~~r~ :.~evr.~crs sd~OOM 1~~ 1?~ n r.s o! 12.31 ~t ~~~~k~~ ~~'~1~ ~fY fhit b ba-s_tn~a.~t c~orr~ct copY ~ ttM loca~ ~O~M'Ors woord o~ file In th* St. Lucie County ~l~d~}}~ p,~~, l~M~f N Fort Piercy. Fbrtcia. _ W ~VHxning: Not v::'.~d un~~ ; _ , _ s r~_.s~~ St. CouMy F~e.~';i~ ~ _ , ~ ~ • ~uti~ .j 'a~ ` ' , _ 17 ~ 1 '07 _ N--t~'"11!~!~t-~!~i,~r < ° :i' _ ' . ~ ' "Rty h~,;~~n Off;~er I Reyistrar R(:-=~, ' ~ ~ ~ (1~ ~ S 1J - ' _ p,N _ti~~1C , D~p~M1? lqcal fE~ck+ t~~Y507 ~;F 988 ~ _ _ . _ _ _ _ _ . ~ . _ _ - _ ~_..r?!_ _ _ . ' - _ _ ~ ~