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COMMONWEALTM OF PENNSYLVANIA
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I.OCAL iigGISTRAB'S CERTlFICATION OF DSATA
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3 Part U. OTHFR SIGNIFiCANT CONDITIONS: coatribntmfl to death but not rciated w the imsediate cause 9ireo ia
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as Loca! R~eq~strar. 'Il~e oriQinal cert~Ncate vritt be Eorwarded w State V~tal Statistla, Harri~rq, Pcoo~y*Ivaaia Ear permaeeat
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