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Oat.l2,1968 Browns Chapel Cemeter Tazewell Virginia
dt~'E'Funeral HO wrE"ECa'nuocAa'tE'- `KT"AA'. - ~~~lSeZ~ ~j '
Ft. Pierce Flor da ~;
i ~~ ~y ~ ~ ~ ~ true and onrraet Dopy of th. Loin . -FI1.E0 AND RECORDED
RepWrar'e record on fik in the St. Ludo County Maahh Cape' ~.~, :~~; U~r1 E COUNTY. FLA.
mart at Fort Piero. Florida. . ~~ _ _ J CQ~t~:~ V ~ F 1F~ E0
(1Nartlirlpl Not valid unless raised saai o+f the St Lucie ~ - ,' `~ ' ._ , :' ~,~. j , .~S28Oj
Cgalty F{aahh Daparfnlent is affixadJ - :'~ ~ ~ ~ t ~ ~ ' 0
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N. D. MILLER. r ' ~ . - -~ ,;." .
County NaaMh Offioar i t+otal wapisfnr• ;s' •~- , i.~ .~ ~~rz~S`~~~; ~
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`O01M'T" Saint Lucie ~ 66-025 ~ `wA~Florida w oouN~ Saint Lucie
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rESt3 a - Fort Pierce vES ~
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lo~'t. Pierce Memorial Hospita 2 O nder Av nue
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at'
Kahn ~-TMOctober I1., 1968
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Han Shor
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53-18-9232 June Kahn Ft. Piezce Florida
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