Loading...
HomeMy WebLinkAbout0459 ~ . . ~ _ - - - ~ jo;-33 ~ ~ 29 ~1~ :~FFICE Of YITAL STATISTICS `A ppUGL,1 IXr': 10 218 ? 1 F.cc Fee S CERTIFiED COPY n,~;i ~ L~icie Go r I~ ~ , . ~ ~1'.:~~ a G7er1c o! Cizrui ~ ~ t`~ "~t~i . , ~OUG.. ~XJ~: 3 _By S1 L `i~ ~ j~pt,cy Clerk..._.~ ~ CERTIFlCATE OF DEATH Total = ' i. ~,__VL ~.L_~d.._.._ C~.~ _ ' - •'c"-- avcdow ~~~wi.rN F L O R I D 1l , ..~..~.~,........e eca~sre~~~• Ho. 476 ~r1Y b(CEASEO-WMI nMt weN ~ l~{t SE[ DA W CfAM ~ WM Nt, ttN1 t r~ ~ ose h dwin W then ~ Male ~ S tember 20 19 5 UfE rw~n. nes~o. a.n~c.r wwrw, A6f-w~ r ~ v~ea ~ 1~r CATE Of ~RM ~ra~, w•. C~tMfll d 0lAM ~K. f~IKO?1 MfM~?tlhu{1 r01. MH MOVH MI. ~V~ ~ White H.79 A A icil 15 189 Saint Lucie cm, rOwN, M l ~ON A N r.Nee cw. ~wrf ?rtM d O. !R ~r wr w~~wn, ww ~n w rwe~ ~ wc m m o~ +M n r~rt Pierce r.. Yes ,~D.O. A. FQrt Pierce Memorial Elos ita,l - SIAT~ O/ M111 11~ wOI M~.f.~., ~~t C1111EN d WMAI COUNitY MARRIED. 1~VERlMfl1lD. SU~YIrl10 ~~I ~M, ~M MMn w~~11 • lOww' 1 WIDOWEO. ~iYOlCIO t f?lt~f 1 ; i~entuc~ + sS.~. ~ M rried u. Barbara Evelyn Bernar_ 3C~C~K S[CV~~ M/WE~ VSUAI OCCWATION ~wv~ aw~.W ~wa ~Or~ MM rMt O~ RMA O~ M1Sl~1f a R~l~RT ~MO l~N. F!w M MVNO t 2G1-03-889?_ Traffic 1?tana er Blue GQOSe Growers " ~[YDfNCE-Sf~R COUt~Iri C1TY, TOWH, OR LOUItOH auq tw~ trws f / - ~ c?~cw ~ta o~ w Florid ~a. t. ucie Fort Pa. rce ~N. yes ~w608 outh ZOth. rw~~+E~-ww[ ~uu .ae~~ us~ MOIMEi-AtA~OiEMltAIMf r~M re~1 uR ~s Au sta Win ate Wathen Ida Gardner ' 1 NfO~MA1A-NAMf MA~~~ ADO~fSS ~Ndf~ O~ ~.I.~. MO.~ CT O~ ~O~M. ~t~M~ 171 . n ~n. 0 th. . t c lorid :f 1A~T oc~t„ w~s uusEO ~w ~cwtE~ O?+1y ort c~ust Itit tnu FO~ h~ P~, nt+o kJl N1OMM O~M~~ AN~ M1M ~ r 1 V ~ ~ ~ 1 [O~~mOwt, u ~~n, . - ~~~c. o.•e ~.s~ ro ~ P) : tM~r~ t~~~~ ~~1. NM M. M~U ~ CMNOUf~K~ M~ t~ It~t~w0 tw~ Vr~H. ItIMO ~~r~~ l~~/ i; rx~t M On1fl1 SM.Mt COND~f~ONS~ eo.lrww~ cawr~v~r.o a ~e.+w ~w Mw a~~=ee ro ueN ~~rr ~ tin ~ w~ AVfOISY I ~ES wu r+M~~.a~ eon- - ~H~ w i+s~ « ti~w ~t~w~~~ 4w~ f ~ ~ iw. iw. n„~, 1 ~ aoTu~ ~.a+.M. r~, nN ~ MOW IN1Ut~ OtCURR(D ~ Mn~ wevw w rw~w ~ r~n ~ e~ ?N? N, wea ~ ~ ~:,M+c~dt, o+ utiolu e r.f~tif ~ !1?. 1k. M. !Y. iNAIfY AS WOfK r1ACE p NM1.~ wer, r•.+. ~~w+. ~~cw~•, IOC~nON ~ rnen a~-i.~. wo., em w+o~. a~w ~ E : ~~.rc~..n.a.oo~ o..~~uo..nt. ~wc~.s~ ~ ~ ~ CE [fRKAT1pN- ~Owrw M~ ~In ~d+~ N~ •w ~ µf~ L~ ,wr7~ atn7 pw 1 M/M uOt v~t~r wy p~AM OCCVMlO 4 IM M~t/, Ow fK •K111CUM~ 'O tl~~ NT !~Y ~0~1 ~i~ N~1~. IMON~ T ~1r. Yq. b K Kr ~ •m••~n aw r p~n pq~.urD~,'Ow n~ s~a.x~ .ww tD. Qtc lt1. tfe. • K t0 w~ t,rvw tr~tw _ C[tiN~UTqH-MfDKAI lxAMlK~ O~ OM ~MI ~~H~ M M raw a w~ti n~ec~se.n .~n ~+a~oa+cf~ w~ «~rwird+ p Mf WO~ ~N/M tN! wn~NO~~~OM. M/n pMO+. M~ ~/M wOY~ Pf~M OCCMNO OM M~~~! r~ ~M /01q U1qfQ1 N~1f~. jh K I~. Cf~i:11~~-NM~E 1trM M~11 OlWL~ W I~OMM. ~~~,1M~1 ussell L. Counts hiD r~, ti~~ ~ - i~„ - _ 20 Delaw~re Ave. ~~-c~•T~~ ~i•~~• ~or t Pierce Flori.`aa 33~0 ~:v ~va~~l. CREMAt~Ot~. RFMOYAI CFMIt aY OR C~EMAtd1Y-..NU+[ tOG +ON tm e~ ~o+~ ww ~r~~~° `~m~ rw 11 Souls Cemeter ~k. Sanford Florida ~ r~• Bu~ial t ~+cr~w. s.?, n.~ ~ FY?+E~~t MO~tE-NAMt A++O ~OONS3 ~ mtn oe «o., cm w ro,n., tir ~ ~a. . ~y Se t.22 19'75 ,,.Fort Pierce Funeral fTome 106 S.~t~i.,Ft.Pierce,Fla. ~ ~ 'N 4~~ PG troi r CCl ~ acnrw- nx~. . . ~~m ~oeu ~es?au~ ~ t u~ 7$ ~ ~ ~ ~ ~ ~~-a:;. U R ~ aaaR ~75 Pb~f 459 ~ ?HIS IS A ERT FIE TRUE AND RflECT COPY OF T OFFI L RE D FILFj THIS F ~jNrSTATp { p~4y . ~.f1" - BY: _ - . ~ LIV H. ORD . ~ A - - S~aCa Reg' rar - - - - - - _ ~ ~ t ~ _ ~ :.N\ ?ii001JCT{ON OF TFt~S DOCU1~AEyT ~5 PROHigITED BY ~AW DO NOT AGCEPt ' ~ WARNING• VN SS ON SECUF~7Y p,WER WITN COIOF?ED BACKGAOIiN~J AN~D GOtD EMSOS~ED GPEA7 SEAI ~ OF T:tE S?ATE O~ flOi710A AITERATION OR ERASUHE Yp~DS Tr!li F~r~ ~;'e . r~ ~e~rw~xr~ Mvr n..o ~,y - 4t HRS FO~m tt(j4Ifi38i ` • _ _ . ~ ~ °os td _ . . . _ _ _ . ' - . . . . . . - f ~t ~ \ ~ ~ ~ ~ 9~~~ y ~ ~ ~~~f°"_~~ C~ ~ . . . ~ _ . . . A `~l