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Oe- ~TAT~ YOARD or Nrw~.TM CERTIFICATE OF DEATH
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CroParly
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~ n D~~- CITY. TOMM. Wl IOCATqM IS ?LACE Of DEATM t. pTr. TOMIt1.011 IACATIOM t. K RE510(1KE
~~naat Fort Pierce Florida ~0E `~~rc~ Fort Pierce Florida "~10E ar rn
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NAME OF (IJ r! it iM~itd. f~ N?sel ~/4sw1 f. STREET ADORESS
1506 Jaunita Avenue 1506 Jaunita Avenue
N4M[ O/ i'i?M A/i//!s L~t 1. DATE XwYI Dy YtV
~iy`,~«`~.tr~ Robert N. Peres ou~ July 13, 1969
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Dl~et l~t 1 FATMEII'S 1UWE Il. NOTNEIIY ~u~D[.M W1ME
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v' ~~p•~~st•~ Robert N, Peres Amelia Cando
- K. SOCIAL SEWIUTII ?q. 17. IN j NONATY~K t~' At6ru .
N 148-09-15 /~Gf.~.~~~'! Yj ~/.~'~f~~ ~ 1506 Jaunita Ave Ft. Pierce
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• e e Y~ ~ t~. 2~- MI~Y. CIIiM~i~OR 23S OAiE 27t. IM~[E Of C[YETCIW OR C1IENAT0~7 23/. LOCATIOM (G1ff1. fMrR. M tNNf/1 ~$~f~)
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Y. S. j 017 i ~SS 2S. DATF RFCO. ~11 IOGLL REG.
a.~.~ass - ~ t. Pierce F~a, JulY 16, 1969 ~y,~,v .~2 ~w„~~
18414~ ~
~ I hereby osrtify this to b~ s t~ruus and aorroct oQpy ot tha t.ocai T LED AN0 RECOROED ~
~ Registre~a ~ecord on file in ths St. lucie County H~atth DeparF LUCIE COUNTY. FL4.
ment at foA Pierce. Flotida. ~ R F!` n~? V E R I F! ~ p - r~;'
:
(Watning: Not valid unless raised seal of the St. tucie ~:l;,'
Counry Heahh Gpartmsnt is affixed.) ' ~ ~ ~:i ` _
' '69 OCT I 0 PM ' I 9~ t~
~
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, N. D. MItIER, M. D. ~j , . ' _ . - . ~ `
~ Cou~ty Ith Officer'b Local istrar Q~,~ C~ z.
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