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VOLUSIA COUNTY HEALTH DEPARTMENT
CERTIFICATE OF DEATH j
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' 1~olusia Avenue Da na Beacb
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~ CERT 1 F 1 ED COPY - ;~~"t'';}'~;`~•:
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~ I hereDy cert f fy th t s to be a true and exact copy of ,:'l~~~~o~,lf~:t;
Reg i strar's reco~G of death on f 1 I e t n th i s of f i oeJ~~~~,R-'`~~~~~'•:~ ~
( Not va l i d un l ess the sea l of the Vo l us i a County . Ha~'I;~.~ Y~;-._
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