HomeMy WebLinkAbout0924 805'73'7
845'73'7 ~
~
•g? ~ -3 P12 ~58
~
fILED l- ~
~ CERTIFICATE OF DEATH ~T. tu:.:~ " ~
9 5 3 F L O 111 D A
~a ~ ~oc~? nu Mo.
~ DECEDENt-?u?~E ~~nST 1~~E ?~?Sr iEx OA?EOiOEATNfYO 01~ Y~/
11M10~001I
.,,,,~„a,. , JOSEPN vAI.IC~I Male November 2, 1986
~ 603 ~ E-~ I AOE-lui8+11W~Y ~ UMOER 1 YEAR UNDE11 f pAY OATE Oi SMIiH/YO.Oq. Y~ ! COUNTY Oi 0[ATM
. Wh~te ~8 "108 ' °""S . Jenuar 2 1898 St. Lucie
~ CITY.TpNMCqIOCATIONOFOEAiN MOSP1iAlOROTHERINS11~Ut10N-W~tMnptr~WAN.pwYnN~nOnurn0~r1 IfHOSPORIN$TIInA~tM~OOA.
Port St. Lucie r~ HCA Medical Center- Port St. Lucie ,P~~ at~ents'~`~'
~
$TATE OF &RTNI~Inpt m CIT~ZEN Oi WNAT COVNTRY YARRIEO. NEVER MAMIEO. SURVIVMIG SPOU6E Ill ~ih. yM w~a4~+na~n~1
7d USA.nam~coumry/ IMOOWfO.O1H4RC O{SMc~p1
. New York 9 USA ,o Marr~e~ Frieda Helene Salls
, ~ p SOCUlSECUrutrNUMBEr+ USWLOCCUVATIONIGn~~rdo?~M~OW+~Ou~+q KI?AOfOUSINES50RWDUSiRV
wipll Of ~or~rpW1. ~?~n d iMu~Ol
-24-76 5 Broker Insurance
~ RESWEMCE-STATE COUHTr C~T~. TOYNN OR IOCAt~ON STREFT AND NtNiiOEN MIS?DE CITY L~YI~S
1` ` I YudNol
orid St. Lucie ~kFort Pierce ,b 34-D Oream Court ,~o
~ fATMEN-NI1YE fIRST WOOIE lA$T MOTHER-MAIpENNAYE FqtST YIpO~E IAST
,s i e e Antonio Valicenti ~a Unavailable
? ~ IMi01MAANT-NAME f?~ a P.w) ~WUN(3 ApORESS STIIEET OR R F O NO CITY OR TOwN STATE 21i
' 34-D Dream Court Fort Pierce Florida 33482
at i enti
3 OURUL. CREWTIpN, i1EMOVAI.OTNERfSp~t.y/ CEME7ERY OR CREMA7pRY-NAME IOCAT~O~i CITY pp TOWN STATE
~ 1M
~ ion Ft. Pierce Crematorium ,k Fort Pierce, Florida
FUlERAI q FUNERAL HOME ~DDNESS
~
~ Ya es Funeral Home Box 777 Fort Pierce, Florida
~ 2Q~ To l1~ ~M ua~'I~Op~• , 0~ ~n0 Ou~ 2fa On qr suis o1 pawnrrhoe ~M/w r~tpMan. in rM oqrron O~MN oeevrW n tM
~ qM i1~UNA tw~R ArM MW 0~ ~eW duf b M~ e~uMl~) qMW
T~ ~ ~MM~~ ~M T~ ~
s ~ pATE SlONED( l10U11 TM OATE SIOME~ I?b. Day 1'r.) NOUR OF DfATH
r
~ e
~Op ICc r V sY t~e rtc u
i NAYE A WG P?1YSIGAN IF OT?1ER THAN CEIITKIEN (T~p~ Or hrr) =p PNOMOUNCED OEAD fMa. D~Y. Yr.) PROflplliCEODEADtMa~1
s
` j soa i+a oM t~~ M
* NM1E ANU ADOpESS Of CENTIi~ER (P?IYS~GAN. MEOM.+iI Ef[AWNERIl1~ a prul
n r 1100 SE Hillmoor Dr Port St. Lucie F1. 33452
neo~sTn,u, GATE 11ECE~VEO OY REaST11AA (Mn. D~. rr 1
~ v November 4, 1986
,s~.e,.., ? ~e
t~. MrYEOeA ~ENTER dYl OME C/A~USF REI! LINE FOR f~l. l0~ AND (e/ I NIww1 N1swn r~0~
rARr Ip ~~iI~IiI"!~ I,~~GiL^ 1//7~G~/~~ ~
OUE TO.~
~ MCE IC~K~I ~AM p~w riM b cr~ W- lit u~0ulyirq CauM WQ MrrvY MIwMn aw~ an0 6rMh
~ ~o, ~ ~/.J ~ ~~C~1
~ Ol/E TO.OR AS A CONSE ~+ce oc. ~wr.r su+..n o~w~ ~ne a..n~
~ ~ c / ~ ( i~ I P
~ /Mt OTHER 40Mi1GWT OOMO(110~4-Ca~Obs eatEiwrp b A~l~ 4r ew ~M~YO b us pr~n ~~MT ~ py ~ F ~aMIE. wAS 11rtJ~ A AUT~SY ~~Q 10 ~~L
[ 27'/ ~ PnE~o~w+c~r ~?wSi ~ r0rrt~+ p.. a ,.r a rol
} ~
~ ~v.~~?cc~oE?rr. swc~ a wtE oF iwt~+r lMo . o.r. n ~ ?~Ot~ Of ~ WtMr ofsca~sE aow n+x~nr occu~o
~ HOY~G . a UHOETERUtNEOfSV~uy1
1 !M~ FanR 6/2. n. . t~u a~c u na
~ sf~ MNUR11 AT WORK ISpK~I ~ RACE Of MJJURY-M npn~. l~nn. ak~N. Nclpry. pfhC~ tOCAT1ON STI~ET OR 11 F. D kO. d7Y OR TONM STATE
•~t, « 1~~~ Y~a or Mo/ Ou~Anq. Nc fSy~a~!'1
' 2l1 1. 2)
3 a~ d 1Zr71~4 •
4- ~ne~ a ~.~w - - .
, ; ~11f d foA Pieru, Fbr'rda. . ,
~ Npt valid un{esR raised seel of tY~M ~
~ ; . . ~i~wtfy H~ralth De artmrnt is ~ffi ' ' " . .
, . .
I ; Q 41 " ~ . :
~ . . . ',''r~ . M~ • ~ .
f . . . . ti ' • , ' ~ . ; ` ~ ' , , :~J-
! i ~ i • . . r ~ -f
I~ . - ~ : d • f~.
~ _ - . ~ ~ . ~ ~
, ~ ~ ~ •
~ o I
~ 4! ' : . . - p~- _ , .
i ~ . . - . , . , . F' • .
5 ~ ~e'+ • • .y
~ . ' ~ ~7 ' . •
•
~
i -
i
~
6
~0530 Pd~0923
~ _ - ~