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~ Ftt~D AND RECOROED'
ST. LUCIE CQUNTY, F~A.
`I'he f
dlowing is a coPY from the reco~d o
f Dtaths in soid `I'oum: R~ C 0 R C RI F! E D
N~~ a~ e rgu~ , 193355
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DATE OF DEATH Jnne 2 1
n11r~D Df111'R,AS
t~GE : YFaRS GO MONTHS 5 DAYS 17 C I F„B
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Sn,rci.E, M~+niuEU, WIDOw~ ox Drvatc~ Ii~t~ried
OOCUPATION ~,et cit~ sai~, ~~s'a~t
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CAUSE OF DEATH Intrarintricular Heiea~rhage
P~+ce oF Dr~+Tx Bosta~~ NasB.
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~~N~ 20 Bradlee A~enue~ Slia~apacott, ldasa.
B~~rtirr~?ce Boston~ ?~s~s.
NAME OP FKI'HER
BIRTHPLACE OF PA?HER R~B~
MAIDEN NAL[E OF MfY!"HER ~ ~~n
BIR7'HPLACB OF MOriHER Ri188~8
P~+cE oF Irrrr.~Exr Sharc~ Mem. Pl~rk, Sharon '
a
I, Oi.nrgR W. COUGHLIN, Depose and aay that I hald the office of Town Clerk, of the Town of
Swampscott, in the County of F.sse~c, and Commonvu~ealth of Massachuaetta; that thc Records of Births, Marriages
and Deatha, in aaid Toam are in my custody, and tbat the above is a true eztract from the Rezorda of Deaths,
in said Towu as certi5ed by me.
~~''~~DA.D,T.; ~ -
~`'3 l= VVTTNESS mq band and the aeal of the said Town of Swampeoott,
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