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CERTIFICATE OF DEATH
F L O H~,D~J[
1. t NfATN GOD[ NO. 1' 4~ST~A E~fIKNCt (/1w K ~ • f~iMrMr~.i•irt~•)
S Lucis 66-12 Fla. hartin
R Mr. TOIrM.OM LOCATNw s. 6 Kl1tE OF OEATN t. dTr. TOMM.OR IACATKMI e- d wES10g1~
MIS10E dTr uNlTSr wS10E Crir uM
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L MAME Or (pe.t to ~M]Mf. /if ah./t elrw) •• LEIICTN Os !. STNEET AOO.nESS oM A iANlrl
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~. IIAttK N l1/1t AfWe L.If s. DATE ~/i.lA DeI Yea
(~ n Be Barrett ~-TM • rsl 5- 1956
3E11 ~. OOlp11 011 NnCE 7. ~O ~ IEKN WUINt0 ~. OATE Oi .NITN . At.[ (/. /rrn t Ir~Otw 1 1RAR U/OI M 1e1f.
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1 /ATMq'f MAYS 1 MOTNER$ MWOE11 NAME
Prune Pork
^AS oEwsEO Eve. a: o roNCESr It. aodAL sEwNllr Ma n. s •taNATt1D[ John 23arrett
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11. fwYtK /! oaTt1 (Blwr.Mll eNe a.+e /a fi.l /r (y, (1). eN/ (s).) INrE11rAL AtT/EiJ1
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!!a. lIDINTYN[ (De/ns K f Wt) ?b. ADOIIESS ?:t. OJITE SIGI<O
C.C. Denton K.D. ~ Ft. Pierces Fla. -9-56
Zie. wrraAL. catrwilolL r]I. 011TE 27r. NnNE or CENEltar oa catNAloNr 2l1. LOCATgII (Arr. Nw. er a..n) (era)
~iir~a -10- 6 .Pine ++rove r't. Pierce Fla. •
tA. Ys s1alA AooNESS 2S. oAtE t/.co. nr LOCAL NE+i. NEWSTIIAN'S SIGMA
F F -10- 6 Anna Lee Lenison d. r.
FILED AND RECOROEUz
ST. LUCIE COUNTY. FLA.
I hanblr ~fY thk b be • true and aotroct roPY of tlla I+~E C O RD `1 ~~~R~1Fpp1 E 0
~ Ilspishnrs raeoed on fik in tlls St. L(~ Co(K+tir tlaalth Oa~art- ,.~+``,S
mNff at Fart Pk±ra, Florida.
~Mhre*Ipl Not valid unless raked seal of tlw St. ~ Z PM .f.,.,,
u89 SEP `~ yy~~i'
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{ ~ W. D. IIAIILER, M.0. ~~ R PUITt~ U
Health Offiosr •i iroal ARK CIRCUIT C ~~€~`
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