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HomeMy WebLinkAbout0985 = T _=__J.___ - c . ~ '7~U259 . : . ~ a~.~ _ . _ . . . _ . i ~ CERTII~ICATE OF DEATH ' 011f1YMT CCo FLORIDA ~x ~ IOCAI fILE N4. J J v ~ ~E tAST SEt UAIEO~U('~iN.4h DarYrl M~k OECLUEHT- NAME f~HSf ?Itpp~E wi„~~, , Elcaer F. Dean 7 Male ~ May l9, 1985 ^ RACf -eg, W~'e fiix? AGE -Uat8utA0a~ UNUCq 1 YEAq UNDfN 1 U11V DA~E Oi OIRT~~~.UO D~~ Y. , COUNTr O~ DEA~~~ ~ ~s ~f~42___ ""'1nO' "SP"'`" ~ ~ 6January 23, 1910 St. I,ucie . ~ '~iite ~ sp os o~rs ~auR~ s- M~Ne _ _ ~ C17Y.10YIMORLpCAT10NOfDEAT11 MOSPIMLOHOT1iEHINSTIIUT~JR- Wme~~~~~~~r~:ne~.q~.v:~~tef~nUnumOaN ~?~WtiPUpIN57 Un.1~ea~eOnA. OP,tnk~ Rm.~npairmiSP~tiJ~i ! ,p Fort Pierce Lawnwood M~dical Center In atient ~ j STA1EOf 81RT~a~Ife~etm C1TIZfNOf WftA(COUNTRY 6iqAR{fD ?:f,VERMARk;EU SURV~l~i~i,SPt)u.~C~~1wda q,+emJ:~•6•,nyn=,. ~r 7~ _ A. ~metoun~ryr W~OOM~fD O~VORCEO ~S:ra~~~ t a ~~a~ama , U.S.A. ,o Married ,,.Tean Cook _ ~ SOCIAI$ECURI(YNUMBER USUALOCCUVATION~G~rei~~.lo~w..~wdonre~onq Kit~:DOFBUSINES50RINpUSTRV ~ mo~roe.e~~~~qn~a e.e,~,~nr.re~ 12 263-07-2844 Minister United Methodist Church pES~DENCE -S1ATE COVN7Y C1T~,TOKNORLOCATION STR~EET~HDN~ABCR ~HStpEf.~TVUwic ii 5att.ry r~~ w Noi Florida ,~p St. Lucie ,k Fort Pierce ,,a 724 So. 11 th St~ eet Yes ' iATrtEil-NA4E FlRST MiODIE IAST At~TH[N--MAIGE.'~Nx'•~F ~~AS' MiODIE LAS7 . ,S John William Dean _ ,6 Ivettie Oslin INFQRMAYT-NAME~~rOaw~~~~~I~ MA0.4NGADLr7E)$ StR~ETOR(1iC'v~~ C~TYOp10Wti $7AlE L1F Jean Dean „0724 So. llth St. Fort Pierce, Florida 33454 BUHiA~ CAEMATION.REMOVAI.OiHEp~Satcdr~ CEMEiEpYORCaE~A~TpRr-NANE IIUCAI'QN GIi~QRTO'!:N STATE tei Buri al Hi 11 crest M~rnori al Gds. ~.2- Fort Pi erce, FLori da • iU•'~E~L O~RE R e~ fUNE~4i NGA+F ~~.r.FESS ' • ,g~ Yates neral Home, P.O. Bx 777,_ Fort Pierce, FL 33454 _ ?Oa i ne t+ M n,y tncr esx Ceam x rea r-tpCn`e; arte .a-e ,r. o..e a 2•a C~~ r~ cas s-.~ e.an:~,,•..: a:... .r ,n.,...~q ~•.^n m~ r.a:.~.~n er~~~ otcu:ree at tn. < •.r.e C3•:. a,~ r~a~_e a~~ f u_e vo tne ca~~.e.s~ sts+eO au -~utrecavse;slsu!e t G~_ ~ ~ ~'v (Syn~hn~ uw Ta ~ . / v i (5+9naeun ana r~u~) ? _ _ ^ pA!E StG~~~MO Day. n. 46UH Ji CEA H~ , t UA:f. S:G'.EC: ~/c r i~ r. , NC~:RG:OfA~n ~ ~O~ ~ ox r~ j u~. / W . ~ J '~2r~'~J ~~ti / + M 2~= ~ ~ ~ U NA41E CF AT7fY'J+NG MvS~GWry O~~~ER THAh C'cHTiF1EF ~I~;,> p• Pn•:1~ ~p c-r: V iUr~^F': ~Ea~, t•~ i'~~ ri: vA~~\G~~:GE~::Ea~-~~-;~• ~ pp' FY1 t-W ~ ?~r A1 i1 U xp NaAF ANDAOD~ESS Of CEAitciER (~tirS~C~A~~ titFCIC~L Exar,!t':F~ ~Trtx~ n-~~' ~ H.C. Mcllermid id.D. 702 N. 7th St. Fort Pierce, Florida ' ~ - ~ a,> ;?RAR ~ L'_T ~iEpE~ElYED9VREG:,°.7/7LF,~5~o e,~ r., 1 ~ t, ~ t ~ ~ / E ~ ~ _ ri 31 19 8 5 f ~la ~S,y^a~ure./ ~ ~~-.o' -y- • 2Jo € fMMEO~AT CAUS£ 1~fNlEAOVLYOVf L E FNLtNE «p'3• ~G) ANDr[~ ~ ~~.:r.r~t~t.ee~cnseta~aCeatn I 1 ~ .~1 }f ~ ? ;AT lai ~~u~ ~.i- t l~~ ~~r i ~ 1~~~W _ _ 1 OuE TO. O•S w CONSEO~iEt+:E O' (~~`e ~nls) ,~t+cn ga.e ~ t~ ta~se (a) - ~~st unca`p}~ _a,se ~a: i I~^~~%'~«ew sc~ .na~ea!n .f2 \ ~ _ J "v ~ ~1-~~-`..~~~.. _~L_+!- ~ ~ ~D ` ~ OV O. O~ ti5 A C' NS£OUE."~~E ~F ~1 • ~!n!e~+a~ crtne?~pnset a d Cealn i ~ ~ ` ~~~_,`,u_ C ~ / v~'~ f' ~ ~ ~ ~'.1 ~ 1-.~.. • VARTG~nFN. I~~~CA!~TLCF.:Y!KnYS-C.•::•~F~z:.~r,G~:~:'~de.~~.:-:rrra-r:- ~.aq.e-. req•.., PARTm.:.-••-_ r,a:. EaEa ~utCk'S~I~ :_:.t.~A-raHE'~'..~ ELrl=r•_ ~ f:. •.n,:~••. c ce<r :yJ: ~~5' ~.rs~V V ~.._r./~i°~r..°,.;.1~ 7f ~ ~ - . . iv~ ~Oa~iye ACC~OENT. SU{GtUE or OATE OF ~N,fUHV (Ato. Day. Y• ) ~~4~'R G~ ~NJUpY P~tiG~~BE hp:Y t?::U~1Y OCC,URAEO ~ H.~.t~C~DE orUNQETERMINEO(SC+eu~yl ~ j7a ?1D p~• 11 27~ i Fam 5~2, ~ ~y~~f+r AT WORK ISO+edr VIACE OF ~N1UAY-M rrwn~, ia~m strtet fac!r.r~ o~hce IOCa~~OV 57REE~ Up H F D NO CITY QR TGLYN _1TATE 4~,~50~l~lS ` Y~SDrN91 A:.:M:r.2 or iCr.n~,iy: .=f{tS OdRqfl! j7. 27t ~2a~~ ~ nereby certity thr~ to be ~~ru~ an~ S,r°c! "~'~y or tns ~oc.i~ ~so~~ ; ~al,, ~ p~~C% ;yi Health Depait+ ' Reqisirar's secord cn Fi t,: ~ . 'i~f: t~:,, J. ~ - ~f ~ ment at Fart Pio.?ce, F, ~~t ~~.V , ~ ~1; * . : ~r,~ s~. '86 SEP A10 ~29 ; t = : ~ (Warning: No • f ~¢~:x9d.) , a~ Gounty Ne:r` ~ . : G, , • - fl~ : ,:p p f~ . ~ ` ~ ` ROG~• ~ `'N °•e:~ C.~ti;~~'~ oe~l R istrai ST. L~.fC i , r-. ~ . C(/I~ h E_ ~1/ ~ ~ ~ `T 'r •L~t[ ~ 1 t~ _ i - • . ~ Dat~ DeP~ry Local Re~~~°•"r ~ ~ ~ ~ ~ ° fl~ 5~.3 P~~~ ~78 aa _ . . V _ _ _ _