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HomeMy WebLinkAbout2829 ~ . 1 ~ s ~ ' • • . ~ _ ~ - ''~~Cl~t• . - - - - ~ - v - \ ` f OFFlCE of YITAL STATISTIG3 ~ "J ~ e.~ ~ ~ a _r___._._. no uc i ~ . , : CERTfFI~D COPY Add Pa 3-~.~..~..._.~..St Luci~ ' ~ y : t ~ Doc Taz 3_.,._..,...._.._ Cterk o!' cc ' - - - _ - - r _ . . - - - _ - - - - - - Tnt 1`ax i By C - • Deputy Ckrk = . ~jf t~HT1~11TE OF O~ATH TotaJ i-.. ~_i <~~'~w-.~e Mo. d l0 ~ Ft~ORlOrA - oEC~nEwrs tsrs~. ~ u.u sEx HoWard 0. ~ Warnock ~ Male ~ bATE OF OEPRH (ifo~fM~. 0'4t 1M~I a~ow~ secuwTr sa. Ki~~ ~n~eM , ~e. ~ rEU~ sc u?~n ~ November 22, 1969 264-OS-0704 ~78 o~ E Oi MRfH P~. ~ 1~ ~?HPIAC! ICp~ ~no 9ar a iow4~ ~~'Y) ~~O OENT EvEpaW u 5 - Ma 26, 1911 Oxfard, Floridn - ee ~ oF oEAn, ~M oNr a»~... ~s~ur~aew o~ etn« i+oN I!. aTV uW19~ M. a rvo~. x~ ~o.r«r o~enw* a oa ` o~o Hw~. n A.ar~ aan~ ~..r~ - Ye a ~r ~?c+lm wVae l~ nor raaueor? p~+.e~N rw ~nonl ae. ATV, iOWN oR tACR~1oN Uf outH ~ M oP oE~trH Le~wood.Regloaal Medica2 Center Fort P~erCe. . . St. Lucie ~+oa ~oE?+r~s usuw. oco~saan ~ae, aw a eusn~sanNOUS~R,r n. us~~-wa~a,e. sua~nvwo sPOU~ w~, ~n.ar+~ Salesa+an . InBUrance ~'"~ei0~~ ~ ~ • ~ . - . ~ Married ~ ~ Ve1da Thompeon ' ~la REStoEr~e:E suTE t~. CotJNTY : , tle. dt1: lOw?L OR IoCJRqt+ t~d. StqEiT At+o MN~tsA . _ Flori.da St.Lucie . . " ' Fdrt: P1eYce . ~ - . ~ : 171~~dtorgi8 Avenue = . . ~ . as ~,s~of ar? ~x z~ cooE w. vwa oEaoE?+t of +naP~?wc oa wuruw oaow+~ +t. ~-~wn r+~n, ~e. o~~o~?+T ~s EouGV~orr U WT9~ ~M w 7b) . IW a 1M lil ~ fY~vl G~Oa~ O~M. MN~N. MC ~ • f~~M d+M~ ~a Yr~ ~VM~e Awno ~ M¢ 1 Ib . O 1M Sqcly. Yes 34950 t~Thite ~_e ~ w~~tl o~an~~.s.i -t / F.~ti-~EA'3 NAfAE if?~R A~1ddt t~q t~, MQfHER'S NA1AE(fi~al, ~ IlekAn?J~wIYaN - Nicholus Howgid Warnock Mary A11ce Locke ' ~rIIs ~r~vli~.1AHT'8 NAME (1yprAhq . 19p wKW(1 ADORFSBIJMr Me MrMrer A4~i 11aiA MrM~t Op~ a~wA ~$r Coor! 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Mcid~ a . . ~ ~~r~+~kb. v u~/ifNSrrn1M0 Il _ - ~ ='~Y ~ PUC~ OF IN.lURY -?pm~ hrm. 32~. tOC~It~ON lSb~M ~no l~hr++brr a!1~rM HaAr Hv+~iS ~7 a~t ~1 ~ ~ - . •gp JA~1 25 P 3 ~36 ~ . : ~ , ~ / - - ~1L~.L' -?~n ~~l(c~~`:;? : ~ BOOIt PA ~OUG! ~ u!~ . i ~ YL~/V~ ~ 'AIiN` - ~ ,Sl. ~Li.l~_ r ~ • ~ 9!;~_ THiS IS A CERTIFtED TRUE A1VD CORRECT COPV OF TFlE Off[CIAL R C ON Fi~E IN TH1S OFfICE ~ ;~r~~ dTHEir,~~ ,t ~ : ~ h' ~ , n ~ OL ER H. BJ~ORDE ~ t+~ 0 8Y: ~ ~..X.~.- _ . Stats qe~+strar ~ r ~ ~ AMY R F JCT!pH OF TMt$ OpCUMENT IS PROFlBtTEO 87 1AW 00 FiO~ ACCEPT ~ 3:> ~ ~ WARNING~ `~`E55 .'~iEC~..IA~TY PAPER WI7H COLOAEO 9ACK(~i0(HID IU.DG.^~l~ L~B655~DGFE~11 • • • ~ ~ SE,~4 Cf iNE STATE O~ tlOA2'A AL~ERATI^vN OA ERA5.FE •/G .r.:5 . ~'iF"..I~~'~,•1 ~~~'«~~.v^'^JO + ~t r~ns.n tn~.fi., _r. et ~ F~rM ~~.r!{ g cal ' " _ _ _ ' ~ ~:~7 ~r- ~~yy F ,_`r~ ' ~b! Ri T ~ ~ 'Yt' ~ f ~`S ~ ~ ~*"'~W s~ ~ ~ ~ ~ ~ii~, . ~ ~ , y ~ ~ `r'. - ~f ~ '3 _ t.. _ .~g _ . . , _ " . . r.... . ~