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~j ~ , . _ . L~'` ~ e • - - ~i~ , ~`J%~~~~~ - _ i 02 Z 9 8 3 OFFICE of YlTAL STATI$Tf~ 1h~ • DOUO DIXON i " 11ddlMt....--..-.....6t Lud unty . CERT{F{ED COPY ~~x ic Co ~ : ~ Iut'lyoc i 8y ~ ~~Y ~ t~ ~ cE~~cA~ o~ nEnn~r ~ _ ~r,? c~` ~ ~ l0(',Al iI~ENO. ~ ;~ay~•qf t t~Er:FDENI'8NAINE(Fr~t M~daM: C+*Q 2 SEx i• Sa'4 ~ tIt ~g ti bert Ja Smith Male ',S - ~ t(LV C G~ OEA(HtMvrKn. Dq! lAa.1 ~ S~C1A1 9fCURlfY NUItBEA Sa AGE lrst B"v~OM SA UNOER 1 VEM Sc UNOER t Oar h~s) I~ionMis Y+ours ~I~nutst 3= 3anuar 23, 1990 262-34-4488 80 ~ ~ ~ 5 tN1?E OF B1hTH(MorWf, ppt 1?vl ~ BSnI?SClkf:E(tyO~~~M~e+Fae~p+Cuunayt d ~M~$DECEDENI EVfRINUS ~ i hRt~O Fp(1CES~ (Ns ar ~M) June 22, 1909 ~astmatz, Geor ia No - . i~Q~ v~ i'l ~CE OF GE/icM (OA.c~1 wyr eee. sw:+stnxno~t a, ano~ sld.i oe n~s~DE C+tv ut~M~ ries a vnl ~ r =:~"?A' .,rt ' i ~ NOSf'~IAt ~_i kpyyer ( ~ EA~Ou~patisM t3 DOA NwsAg Nans (3S4s~d~nc• L`t).M+er fSR'~QY! ~ e~ ~ 9cf~CKf1YNAfAE(MnamatiAO~.qMSLeWi~dn~nl6r) lQC~1V.tO~MN.OALOG~1~0?10FOEATH 9lCOi1NfYOFDEAfH 1508 Geor ia Avenue Fort Pierce SC. Lucie _ 1~ fib OFGEFfFMISUSt3A?QiCCIloM10M t00 KMAOFBU~WESS~NUUSTpV 11 MARIIALSfATIfS-Wr*wd. t2.SUf31RVRW5~0(!SE(Mwl4~si*add+r+ams) ~ V'~;; 4 N~r I~Fwnrod. Mf:do+.e0, - PXO~e.ctionist Motion picture M~~~~~ ~ Eula R. 5~i21iams - ~ i4i t.L RESIt~?+CE •-STATE 13D [~UNTV tJc ptK. tOWN.ORlOCJ1t~OH /3d STREETAkUDA1Wl8ER 1~i : Florida St. Lucie Fort Pierce 1S08 Georgia Avenue ~ ~:`,_~i~ t~f rM;tt(~ C.rl Y t31 21r GppE f4 WAS OECEOfliT OF FiIS~AtJIC Op NM fbW pA1Gltr.r 1S RACE An»ncaw trfdian. ~A pECEDENT S ED11Cil1iON ~ ON , L~MIlS~ i'i?s a 141 (Spe~~ty rdv or 16S - N~.~pet~y 1irMyR. ~/br~. M~O. Mc (Sp+~J'~' orMY Ayhstt grtdo rom~wrt+~! binucM Puvro Rx.wR Nc ) X7Q~o ,r',rslf~~ Yes 34950 ~ f~4+}~~y CoOp~I~ 1a5. ~ .:t;y,y~~ SieciY ~1 ~ t@ A 4t T{ ':i.4ih1 r~}~~$>~ t) i~il~FA'S NAME lFreG At~ddh, i6s?) f~~ Yt?!!!~o~c u: 1" ~ ~~.F wii~ ii+ivw. NMO~n Stx~W~s~ ~.eonidas CarCer S~nith Georgia May Wil2iamson `~'~~F roa viFrnMUrT•s tttJ~1E llfp~.x) t9b MAi~?NG ADDt+ESa rswee.na J~a,moe. a Powa+t+anr tK,mes.. O~Y a row~. su~t LD code~ Eula Srnitt1 - I5U8 ~~or -ia Avenue,` Ft, Pierce, F1 34950 . ~o„ u~ r~ioaoF ars?~t~or+ zoo vuce oF asPOS~r~a+cm~*o d~~~o.~ d zac ~ocwra?~ - c~ « ro»,.. s~~e ~ * er,~ a..~suo. c i a.~ k~, swro °~•c•t I~ ~+4~ " 11~~~~~ Hillcrest Memoria2 Gardens Fort Pierce, Florida >r~ , ~ ~ 7~a S~GFMVF?E OF ~Ui4EAA1 SfRV1l~ IICEKSE~ pFi ?t4 LfCEtiSE t~Wf~48EA 21c. NR~AE ANDAOOftESS OF fAGllliY ~ 5-'~ ' ~'EFL90N 1?SSUCN 7 tWLkertsa~l 1926 X~tes Funetal Ho~ae, Tnc. ~ ~~fl~if.~t~ f, P.4. Box 777, Ft. Pierce, Fl 34954 ~ . ~ ?2~ i0 ~he Desl d k~ewNd40. dealh otcur tfis thrie date and ptacs and Rue b It~ ¢ Y3a. Qh Tv ~isis M painnqo~ andiPO~ Yw~stg~6or+. i~ nry opi~on deatn occu~rM a~ ~ i~ U ~~1~ 71Md ~ fh~ MrM. A~te ~td ~1sCe ti+d due b 1M caulljt) antl msriM ~s ~ISa10 i ~+a~ ; ~ ~Sq~utsn ~ni t11M~ ? - . LSl~srtvre ud Titl~~ ~ .t~ i„i~`+~ : t?b o _S+GttE Ds~c w) r2c ?+c+~noF o~,c:N ~ z3a D~?TE S~uNEDpth. A~ ril 7x NOUROaDEUH :~R ,~~o j S~ l~ S: 00 P u ~ ~ i °j~ 22~ N~ OF Ai NWIG pNYSIC~AN IF O1HER tNAN CEAt61ERlhDo W Prb~tj ?30 PF10NalJNCED DFJ?U (~lo.. Oq! )YI ?~e PRONOUNCED DEAb (na.r~ o~ t ^ r , N : ~ I ?~N/~.NF.NiOAp04~5SOFCEAi1f1ER(PHYSfCtAN.NEpG1LEXAWNEs~If~~~/ u Aspi Docto~, M.D., 2215 Nehraska Ave ue, Fort Pierce, F 34950 ~H ~ j'~~~~;~ 25+~' IBiiEG15TM~R-+.SIGNAtURElWOWT N ?SC UATEREGIS ERE `I~ '$r} ~ f t' ~ ~X'sc ( c' . l.Z~y` 1 ~ J~ ? ~I/ ! :4; t Etia t~e d~ea+ns. ~ . a ~an tfw~ c~,u~ad kie deeth. ea~r fh~ d , sucA 6~ a • ' 1~ipYNOry SnOUC a h! 11pQqa~ nfervsl t ~(a~ltlM lW cY1ty anA taWA an NcA i BNwb~n xl sM ~ ~ ~v «M~F(ZI?~Ef.AV$E{F'in~l . r_- ~ °``V,~~ '~'P~' ~ I `i~ ~ r.;Y~~£.P _ aeNM ; • a . ,,y,~~ ~ :c;t`#'`.,, DUETQ(ORASl~ ~UE O~' ~ ~d I ''t,«~l~s. ~,,~~snNrY~Yfs~eadie~oM ~L./(-.$ `°v~.. L 'h~.C~~ .1 S~ ~ ~ ~ ~~}.7e~timqrorVTedeib b ~i. r~ sr En1tt UHOEFA~'ItJf3 DUE 70 (OR AS A OONSEOIJENCE OFT ' ~.v f S E(Rwase a+nhxY ' . ~~~Vakdereak • ~ - ,.,-~.+nnq ~n dea~fN utS< < - - ~ ~ DtJE il7 (OR /kS A CONSEOLJENCE Of1: ~ ! ~ s! h, ~ d 1 ~ '`'.e~.,~t. < ~ ~ i f E~ > R t 4 ~hf,e. si~~aM cond~e~orts oo'+tr~A:ng a deaM Dut na ~ewlMp ~n ~he Tra YWIS A!1 AU fOPSV 27D MYE(iE At1~SY FINANGS 2s G~SE ~+F Pn~i t F O !r1 t`: c~ t PERfO~i1AED~ AYAltA6~l,fc PA1tKi TO fAMFIf [~ON R7 NE l3~CAL :.r~dt uMkr~y+.+9 cause gi`eri ~n Pa~t t. (1lSdN0) OF~'JWSEO~AE~QM~(!?SdNO! EXAMiNF.R~ ~ t, ~;e=_~. No a k>> No . ~ 'nr1 ~~tFtFt~LE.WA.STNEAEA 3r}aIf$VppERYt5MEN2!ptEOi'IPAFIfi~rttENtEAC4t~ITiONfQRMl1YCHItYY,~gPERFOiiMEQ ~pbpAtEDFC~}fl(',EHylMo.OnyM~a~l Ar+f C1Z:U~t1C[ M ~HE PAS7 : F ?4rt+tttS1+ vES t ~ Ii0 ~'Nt~RHB[E UAMHER6F 32a OA7E :tF tt,~,iURY 32b irME OF 32c ~?IJIiF?'+ Ai YYORit~ 32A OESCfUBf FtOSK W,AM'rQCCURR~O ~ f,+i , •.'a'': t~F~iN pNo~+nr.(~y:1gy) tNJURY (VeeaNa) )q ~ g ~~~rr±r~ACCNr+h.su~c~fncv i ' ° _ ~.~.:ti~ .~fn ~v uM¢t¢rmvi!~tl Y ~ J?e PlACE Of IN 1UFZY - As +ux*r~. wm. 3N IOGf pN (Sr.ro .a s~C N~wnb~. a Awsr tJOVte tJumDer. Gy a 1~wn, Staro) s ~ ~ ShPd. ~~Ctory. !}C ($A6G~'1 '90 ,ll~t ~9 PI2:~s1 rt'~t 1` 'i,,~.~ . f1l~C~ ~h;: 6 B~~!c t ~ OOtlGL~ ~ j ut~ 4 fi~ 5~~~E 620 . r, r`~~~.r Y:~~~~f v : ~ _ . - - - _ - _ ~ ~~~1 Tt{lS 15 A CERT1ffED TRI~E AND C~ECT GOPY OF THE OFfIC1Al RFG FIL !y TH!S OFFtCE t! a ~ ~ttlEtr,~~ ~ Y:° '..~,~y ~r' ~ ~tVER . OE,tOE ~ BY: i:1te isUar ~ ~ . b ~H11 UCT~OIV OF TWS OOCUkrEM IS DFO:#BiTEU Br LAW 00 NOT ACCf~~ f o '(~y~ yEGtliil~Y aA~EA mTH CaOREO 8l~CKC~OU~O ~~L7 G~ fl E~OSSED G,r,E At ~ I~.'~' T*[ T ~~t ~ e ' . ~ WAR~~`YG• SGAL Oi THE STAfE OF /LUR~DA Al1EAATKN~t OR EfU51lP4£ C~. > T-+ . 4 + Ti~ i .rd~5 FG?R0.* "4R? i!S-SR, _ ; . ~ ~ , 1 .Y ~~Owf~ 4a ~ i~ ~ ~...4'~ t4` - ~ ~ ~ ` ~ ~ ~ ~ ~ . . . . F~ $ ~ v- . - _