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Home My WebLink About0927 t , , , ~ ! 1 ~ ~ 813 2 ~ 4 1 pl ~11l1T M` CERTIFICATE UF DEATH ~ 260 FIORIDA , ~ MNyp~ppK OECEDENt-~ N~ME fiqST M~DDIf ~AST SEX ~ OAtE O~ DEwt~~~Mo O~r r• : ~'011 ~atf11UCT10!~f 1 2 ~ 6LAH MCE p W~rN &K~ AGE lasl B~r1nMY UMDER ~ YEAH 111VpER 1 pA1l pATE Of S~RTN~YO Ot~ ?r i COVN/Y O~ DEATH 7i VuL 4m trW~an. Nc r5pr~hr rrn 1 • ~ Whi te Sa Se ~S ~ OA~S SbVRS ~ MiNS 6 'a ~ Ct1Y TOWNORlOCA1iONOf OEA1N nOSP~TALONOiHERIHST~iUT1ON-?Yervl~~~dinheM~ g~s~u~nr~n~nwnpp~ ~f /IOSP OAiNS~ ~~n~~~u~UOR ,e Fort Pierce Sunrise Manor ~ O~PE~+a~Rm ,~.o,~.~,,,,:.,,,,, 7d SiA7E OF BIRTNIIInpr ~n C1i12EN O~ NMAT COUNTRY YARRtEO. MEVER WRAIEO St1RNIVWG SPOUSE f~~+~d~. pn~ msb~n n~rn~~ U S A. n~m~ cow~rr~~ Ik~pOyYE D. OrvORCED {Sp~c~r~ . New York 9 U. S.A. ,q Wi wed SOCUL SECUAITY ?~1UMBER U$WL OCCUPAiION f(iM ~~nOOI pyy Ou~+nq K~Np Of BU$INE S$ UR iNDUSTRY . ~iOf10! wW~rnp M~ NM ~f it:~rlOi 106-14-1013 pEStDEMCE-S1ATE COl1HTY GTY. TOWN OR ~OCATION $TREET 1Np NVMeEp ~NS~DE CiT~ UMITS 11 iSp~c./r +'a o• /vo~ ~ Florida ,bSt. Lucie ~kFor Pier ~b FATl1Eq-NANE FIRST 1,IIDOIE ~AST IJQTHEi1-W11pENNAYE FIR$T Y~ODIE 1A5~ ~ ,S Frank Burke ~6 Travi s i IMiOR?UNT-NMIE r IYpe d FnM~ MAIUt3G ADORE55 SiqEET OR R f O NO CtTY Oq TOWN STATE I!P ~ Francis E~. Shanahan ,?e ~ BU~uL.CREMAT~ON.REMOVAL.OTHEplSpKi/~1 CEMETERYOpCqE41ATORV-NAM£ IOCATIQi CITYONTQWN StATE ; ~a r } n ~ ~ i~ {rl 11 1 ~ 1~C ~ ~ ~,a?-.:.~~ iUNERAlHO1ME wDORESS 301~ Okeechobee Road ,~H ' - ' . ~ ~ ~ 20~ io th! Opl d my ?nowfeCq~ currw N u date cs tfs On tM Dws d e¦rnwtan ~nd•o. urv~st r~n. ~n m ~ ~ ~ w e~. c.u,.~,,.u~e0 , a~ 4m.. d.u .ne w.~. .n0 eu. w tne c., a~i'~,~ N.u~a' °p~n•~•, ee.en occu,.«, tne ~ IW~~ rw Twq ? ~ Ia~/ww~ rr TMN ? ~ a OATE S1G?1~0lMO.Qr~rr~ NOUN D ATM ~ OATE SIGIMEO (Ya. D~y. Yr ) NOUiI OF DEATN € ~ ~ r ~OE ` / , ~Oc M j~ ttb 2~c yi ~ ~ NwE Oi ~iTEn6~NG c~+rSiCUN ~F QTHER THAN CERTIfIER I ~Ip~ d RNq~ PilOHOUMCED OEAO iMO. Dar. n ~ vRONOWCEDDE~DrHOU , a u ?00 ' j1C QH 21! A/ ~,t I ~ PUMEIWOA~pRE$$OfCE TIiIER~VHYSICIAN.MEOICALEXA~/1NEA?/Typ~Orpr.rrf) 4 s n 1 ~ RfG~StMR . OATE HECE~vEO Br pEp~STRAA ~Mp. Oq. r. ~ n• ~s~~~~~•~? 3 17 87 March 17, 1987 2~ ~4MEpATE C ~EA ONL?' ONE CAUSF pER LINE R(~~. ID/. A ~ J ~ Inqni~ petween pniet ~nO Oepn I ?wrr ~~1 ' I I ' DUE TO. Ott AS A C uENCE Oi s) rt~ p~v~ b -~~p cres rsq ~nsa.ru oeer«n onsei aw x,m , 1 ~ 0 DuE O. Oi1 /~S A CONSEOUENCE Os I ~n~en~~ bet~.~ onx! ane w~tn ~ 21 tc7 ?ARi 7THEQ SG•+'~KJ~h' CCI.~J*F.,NS C.xu!ms c7~~h.~.~y+c osr~ [v ~+a rxa~ ca..se q.rr v?aT r Iu ?AIR ~ ~F fEMAIE KAS T~tfRE ? •u'~Sv CaSf REfEw~EU ib vFUK.~: ~ oNFC~YCr H r~g V1S~ 3 YOr~Tr+S'~ a roi E•..Wn1E~~ ~ti rK r vi 2N ~ w~l n NO ~ 1~10 IP~ODaOyf AGC~DENi SU~CIDE o~ DATE Of INJURY (Mp . Ofy, Yf ) HOLtN pi IHJUpY DESCR~SE HOw ~NlUAr pCCURAEO ~+OMiUDE a uNOE~Ep~ctt:fpi5pc.ry~ HRS Fortn 6/2. ?~a ~~o T~c u z~a INlVRY AT W017K iSDKdY ~LACE Oi WJVRY-At ncn+e li.m ~t~eet 4ctwy ofhct IOCAT~ON StREE1 OR R F D NO GTr OR TOYVN SiA?E Ju) 61 (~b~GfNM rn o, r:o, ouw~np ~~c ~So~o~~ ~ pr~vb~M OGitiOns ?7i .s a ~s-~,~ a~ ~rect coPY ot 1M ~ b~ • ttw unt Health ~P 81342~ ~ nKWY m~tFi{e In 1h~ S+• 1e C°. _.:Y.:.;::: r~+'d R~~ars p{orida. - ~ St. ~ r lucN .t For+ P~~ra. ~a1,~ - •87 M~R 18 rt~t+~ ~t valid u~less a• iff~ic~¢.~ PZ .4~ (Mlern?^q` ~Ith _ Y~ . . Ca+ntY 4',i~~ , • " ° - - ~.l,~ . ~ , . . _ F' , (7 ~.`,•-'N {io~~{~LEk; M•~p;: : ~pls*rw Ul~. ~.iJ; . ' . a I ~+~±#n~ ~ _ , ~ , r~ _ , . ~ ~ ~ t~~ ~ ~ ~ ~ ~Q 8 ~ 7 ~ ne» _ _ -