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DEATH CERTIFICATE OF WILLIAM CHAI2LES KAMMERER
IN RE: From the SE corner of the SW~ of the SE~ of the NW~
of Section 21, ~ownship 35 South, Range 40 East, run
west 70 feet to the point of beginning; thence con-
tinue west 140 feet, thence run north 160 feet, fi
thence run east 140 feet, thence run south 160 feet ~
to the point of beginning; LESS the South 15 feet ~
for road right of way. ?
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1. P~ACE O~ DEATN coot na_. t USUAL REHID6NC6 ~w~.•~ww..ar..a n~r: ~
~ St. Lucie 66-XX ~ ` ~~'E Florida S ~ `
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i Full NAME OF ttt b M~IW ~r rMri.~f~ aa. ~a.r .Y.. • w.w.t STR~T ~n s~w I.rf..l
~ ~ HOS~ITAL Ot ADD~Sf _ ~
INSTIiUTION ' @3
~ NAME OF (!Ld) ? UIWiL) s(L..t) a. OATi ( fi) (Da) lY.~l
W ~ DECEA8ED Wi~~~ °o~~w,H TSar 27 195~
~ ~ L. SE1I 1. COLOt Ot ~l1CE L M/1Rll~ NEYEI 1AAR~lED, ~ OA7E OF ~ItTN L A6E 0~ r N ~*w M~~N11~ ~q
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u IM. USUAL OOCUtA OM W~ d wf Nb. K~ND OF pISIN6f OR 1!4 11. ~It?N~l/1CE 1 ~r ww4a wtq) 1!. CRREN OF WF1AT
~ • ~ ~ "'''~ressman~`~~`M"~' Publishin W~Rr Cincinna ~u~~~
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~.q ~ I~. G?usi OF DEAiH MBDICAL CERTIRICATION ~o+ '
orwcr wMn oswrn
P ~ Eatar a~b eM 1. OISEAffi Ol WNDITION
y~, ~ DIRECiLY LEMINC TO OEA1H'~~ Carcinoma of the Prostate
a~ wit!: generalized metastases 2 yrs
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31A. TIME /11~rf1 ~af) R~r) 1H~f 11~. INJU~Y OCCURRE~ 3• M D U
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INJYlY ~ ~e~t ? ?~toai ? ~
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~ ~ it~. 81GNATURE ID+s~ ~ 2~. ~h SI6NE0
v~i . Richard F. Sin»ott b4. D. P'
Q Na. / U~ 1 A L CREMM p/lifi ~Ic. NAME OF CEMETEIY Ol C~E~IATORT 21d. LOCATION (Clqr. fo~~. er aoa~b l t~te
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DATE RbCp ~Y LOGL RECKT~l1t'f :ICNAIYRE if. f{INE~/1l DIR6CiOl'f fIGNATURi ~ ~
p ApMl 3~ l~Pl ?dary W. Frere~ D. R. tLilton Baird Ft. Yierce, Fla.
- - - _ . ~
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ FILED AND RECORDEO~ ~
~ R~j~~~ ~d ~ M ~ ~ Hw~~ p~R. . ST. LUCIE COUNTY, FLA.` : ~
~ n ~ P~, ~ ~ RE:CO~D V~~lF1E0
, . :
Mhmin~~ Not velid unless raised a~al af th~ St tuct~ _ 1'726`75
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CourNy ~NaNh Offiar 3 l~ocal Rptstr~r ` - ~ ` _ ~ • ; i Q ~ R ?0 tTR:+S
~ " 'f~ ~ ~ ' .CLERK CIRCUIT COURT. ~ ' ~
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