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HomeMy WebLinkAbout0925 ; ~ ; . ~ ~ . ~ . . ~ ~ , . - . , . ~ ~ ~ ~ . . . _ _ _ _ _ _ _ _ _ - , ~ ~ ~ ~ . . ~ . _ . . . . . _ ~ ~~o~~ . - k ; , CERTIFICATE OF DEATH . U~p.~~h~~nd .~1 Iln~ld~ unJ R.6aLihlaiNe Gr~lrn ' Y7A76 /ILE NO. I' F L O R I D A ' Ilrt. i. :iu~i iN r.r~~nmu.~.~..~.. . FEGI57HAq'S ?i0 . ~ i /i~MANtNI INK UfCEwSIP-.r~1u1 • r'~•l ~~ft SER DAIE D! 4EA1H ~~O~te, o~~, n.~ ~ : ut ra~a~cc? ro~ , • ~ usnutra~s , ' LELl1ND M. POW~LL : Male , December 19 1973 • ~ACE r~il. Nlf.~p. ~w1~K~M IM01\N. AGE-tUi ~*re~ ~ Tu~ vw0t~ ~ e•~ O~SE Oi ~f)M i~w~.~w, oar. Cp~NTY O~ Gf~iH • " ~ I~ i ~ nc. ~Y~tun 4uea~r~nN1~ r0~. wt1 ~U r?~. ~t•~~ . ; , tvhite 76 „ , :~Sar.19 1897 ~..Martin F CiiY, iOMM, O~ l~0 A-f1~N DfAM ~~1~ti C~n ~~rm MOShUI OR OTNER k:S111U7 _ty-M ~u wo~ ~w p*.~~. cnt i~uu ~KO Nr•+u• ~ _ . ; . • i.~c~n ru o~ Mo . . ~ ~ , , Stuart es Martin MemoriaZ Ho~ital _ Si~it Of. b~tiH u~ ~o~ ~w v.ti-!•. K+~~ G 4EH Of w~ut,CWe+TxY lMtiiEO. NEYE4 t+~7ttE0, SU~YNU~G SPOVSf u~ ~,r~, OM ~41w w~r~ 1 cowm~ WA6WFD.CivOt EO~utt~r~ ~ ~,.,.,,~,w~, New York ~ U.S.A. ~ „_marriec~ ~,.Fannie Bowers ~ ~n cuus~a Sp~~A?~SCCV~TY Mlµlf~ USU~I OCCU~AIION IGry1 4~tiD O~ wp~c OOnt CY~~NO ~oti+ or KWD O~ WSwESS Ot MDUSiRY . ~ ~ ~ ' m. u oi•rw . .~C<Yi\1D M '/Ol(:~+p WI, fr7M t/ t~T.1101 ' ,~,~,,,,~~..~ry~ Farm i „L„~~, 053-28-9955 Farmer - ~ •~'°~~'oH- ~ nfS~DENCf-SG1[ . COUNIY GTY, 70M~1. OR LOUT~ON ~ ~Hiw~ cm ~rn~TST4ffI er+D NUw6[L ~ VtPrt ~It of ~U~1 ~ ~ ~hautau ua ,u. Portland ~ es ~~.Box 8689 Zst S~reet „~Iew Yark „ , . ~ . ~ 1~ltfttl...HU+E ~i~~ . rwau talt MOTME~-l.urOtN N.w[ ~~yr ..~eat i.tr . f ~ . . . Grant C. ~ Powell Elma ~ Szble~ ~ , ~ ~ . . INiG~tMANi.-N/Mf MAA~+G AAGl[SS ~~nter o~ ra.. em o~ ~px,., ~urt. xr~ . „~irs. Fannie Powell ,T.Box 8689,1st St. ,Portland New York 14769 } r~Ri i. . ~ aEATH WAS CAVSED ~Y~ . "(WiF1t OtiIY O~.f C4USE ?E? lWE f0! (eJ, ;6L A~+O (<fi ur~ei+ a~•~n ~~o at~'a ' • wo u Z~yTt" t'~/~ { , , r (ol •d C~ Y!~/"?3 1.!//~ u/( c~S S , . - • . v ovt : ~ / . . . . +OMDIt~ON3. 1~ ~(A. .~~•~_V ~~vl~ ~ ~,r~ ' ~ »~c~ c~v~ n~~ to ( Idl ` WrICUI! UW1/01~ p,~ t0,( co~aaa~a'a. . . . . . ` f1~I1Mp IM~ ~IM~i~• i ~ 1~IN0 C~Vt! ~l{I I ' . - , ~ t ~ ~ ^ • ~ MRf tl OtHER S~GNIfKAt+l CWtUi1tCNJi ta+anp.:1 to~+n~tur~wy ~o [u-~ ~:r w~~r n~.'co *o a~i~ anlw ~H r.n ~ w+~ 1AUTW1Y tF YES ~nt nww«cf Ca+- ~ . ' / , a t1\!1 O~ ~1 1'0/~li /M W11~r~v~r~j C~y_! yj'~+~//•J~/'/7,t O~ 0/~fM r~l J.f ~'~/~GL~~_ ~'~1/~.~+j~~S~111~r"'~'-~- l. ~Il~l`/D ~{/1 . . ~ i wcC tr~ x~~ :~t a etE bF PI,'U~Y ~..a.~M, rt•~i ~•~ivR ~HOW ~Nlut"f GLCURtEO ~~'+~u winrq or ~~iu~+ n..•u ~ o~ r•~i n, nir i:w.~:~~~i oe u~an.uvnn o K? Yw t M 7X ~ : i , _ _ - , I~ IN?V!Y Al WpR /lAC! Of MiNRY.~ .ww, na., yntl~, /K1Wt. tO{'j,T10N , , ~ uult O~ ~.~.D. MO.. Cm O~ ioYw, {u+t ~ F If11(~I~ i11 O~ NOI MIKt hK.~1~t. Iy~iC~ltl • . . ' rif. ~ . . ~ . . , . ~ • ~(~t~/{~A(pH~ rr~/N fl~~ ~MtA C1T T11~ ~Hp Yll Lv Mu~/I~if ~1lY( pM ~ ea/mu wi }a Of~IN OCCV~~1 O~~ iw1 IIiCf. W hl ' /NT{I(111~t t~ ~ ` K~~~M CA1 ilA~ ~~0~ IIt(~ H~~%. tr IM7i~1 P o.n. ~-o. n m~ N++ ; ~ 1 ~r1Ik010 tM! Q • M r [.~0+'UWI,CV1 - fb out.t~s ner ~ ~ 73~}c~ 11~ L tt/. ~ f4 . s IA ~O M/ [~Vl1~U {f~Tli ' . C(lilfKAl1ON-Mf[~1CAl FXANiN(~ G/ C(Io02111: W~ ~ usn a r~ . waJ~ or p~.rw rn a~ncu.r r~w:ar*+_u o~.s It~M~M~hOM M M[ M:SI ~MO~C~ M1 OP1111~Q1IdM. b rf QfM10M~ YM Wl ~I~~ MU~ . ~ . j Ol~!w OCCVU/D W M~ Oa~1 M+D 6N W~ f~VSl~ll f~1710. ~ . ~ P . ~h f~: P. M. ~r? e~e ~3 - ~s • M CF~ll~t ?1M~f ~m~ i ii, ~ S ~i J'~''''~` ' otWfi w~•r: TD~~AIE ~51$++[U o,.,•i..~ ~ ?IM /j~_ f % r1 ~J~ 1 r~ ~ t ~ , ' )A. / ^ !~/G9Z~ ~ /~Y~ i7k /~_±_.~+Q-/.:l ' . ~:!_L~_ l~~`~ 1-~'-~~~f~KXi(r ~ ~^t°"`.,T . M~.Kv~o ~o~~[ss'~ee~run¦ nin ~.~.o.+.o. u r~v ~aw u.n C/ ~ , 171 .~i 1~4 5 ~ ~ ~ - ~ / ~ . . OU[~Al. QE J~tqN. MOYA1 fMt RY OR Ct i04Y-? AMt 16CA7~ON C~n O~ ro'~» 1' ~ ~ 1 f~If~A / ~ • ~ ~~.Removal_,IIurial___ ~~Portlar.si Ev~xqreen_S.em. t<<. Chautiau ua Co. rlew_York ~ . i ~ 1 i ' OAIE ~ Irpwtr, wr, rl•t1 lUNFRAI IION.E-ttA/~f A/iP ~OD~tSS f 1n1/t G ~.r.0. ~o., Cn* 01 tO.~n, ~~rt~, ur~ ' t,e / ~x - rz / '-7`3--- -----+ii.~. n ~ S (15 Sg~.Fed ~T*rri,~ Stu~z't ~_F.1 ~ . ~ 3 ~ ~ v. S. ~612 1iyw~ Wii pt=SrNen s ~ RLG~STe1,k-kf.N t~=t ~ ~ o~rt nu~rio ~r iu~i ao~ti~rw~ ~ R~v. 1910 ri!~- ~I' ~ ~ i ~,nl~~'--~ ic.~/.!i`.~~,~1>.~~ ~l /~il~//~:~1~' lf~'-t is~ ~-~J ~-3 ~I~~~9~ I here~y certtfy tiiis to be a ~rue and correct . , t~, copy of the Lacal F.eg~strar's record on file ~n - ~ the taartin County t~calth Departrr~2nt in Stuart, + ` Florida. ~ ~ ~ . ~ ~ ~i - - w,r~'~s'-g~ ~ ~t = ' . ~ ~ ' ~ ~ (t~larnir?~: t~ot ~i~itd unless raised seal of tl~e r fi,` . t, ` t~ar~i n County Neal th Departme»t i s aff ixed. ) ~ * ~y t ,f . . 4.s~' ~ ' f~ , . _ . ~i x ! 4.. at~ ~ ~ ~ ; 4, ~ ~ t ~ Archie h~c~all ister, M.D. . ~ ~j ~ ` ~ Countv Neaith O~ficer & l.ocal Registrar ~ ,.,r~~. . ~ ~ - ~ ~ . z ~ f~LE~ ' - ' t'U~iY' ; ;~~t~f~c~n i~ ROG~R , . . ~ . ~ ST. llCiE CUUH i Y. FL. : _ . , ~ ~34Q ~ . ~ < ~ u . . . . ,A • ~ . - f ' ' ` ~ ~ ~ ~ ~ .s._~ ~ - . _ . ~ . . - _ . . . ~ . ~ _ ..=.L. -