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SST. LUCIE COUNTY. FLA.
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CERTIFICATE OF DEATH
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1-12-62 Tt Pieroe, Florida
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- -,-,~~,~~ i,u~i e- ~ -.ooMtss Jan 11 1`i0~ Rai ~ltiXiD~ D ~ell~~
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BTISS Olr 1~'I~tIDt
ca..txrrY of aicHt.~rrDs
P 11 pe~d befor me this day of ~J ,1962
M ~ rho having been y sworn deposes
on oath ays tha !~e is a icensed funeral director of ~he
ate of l~lorida and that the above transcript is a true and
correct eop~ of ~he original certificate of death which he filed
with the Bureau of Vital Statistics of the State Board of Health
State of !-lorida in connection with the death of the person name
therein. - •-~
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;c ::~•.~Y.:~'~ •~,,. ~ 1021` ~,
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~- ' ~:, ~'~ r; ~;•y ;;,~~ e>u~r F~EO MD REt~RDED ~_
•`1 .. ,,,,..~~~.:.... 1961 JAN 24 AM 9: b8 / ~~
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~ •A ' '~ 1 ~ ~ ~ ~ ~• ~~' ROGER POI~RASr ClER1( z 7/d ~-
~~ ~;,ti~- 'r ' ;~T=.I,YCIE COUNIY flORiB C8 t u /~~
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