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.STATE OF iyEST VIRGINIA, _ ;H~ ~
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COUNTY OF UPSHUR. TO-WIT:
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' I. ViTgi~lia- K.- Mtl2'Pay , Clerk of the Caunt~ Court in and jor ~
sued Cm~~rt~ a»d State (the same bein~ a Court of Recm•d), ai:d as such Clerk having the cnre and
custod~ oj the Records of Deaths, do certify that snid Records shoro that______________:~_______________.___.___
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" - Simeon__Ray La_yfield - - A~e~ ,e ~~ai_in said
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Co~~ntU niid Stnte on the - .3r_ - da o ~r+ _
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In Testimony Whereof, I hrtue hereunfo se~ mb ~cisi~i~~a,~ixc~ tlle a+eal ~
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of sn:d Cot~rt, at -B11Ckb8DIIOl1----------------,---:------~-, R'ta't-Yt~`guua;
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Recorded in Death Record ' ; ; ~k:
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No. ---.-.5- . Pa9e--- - UPSHUR COUNTY, ~'E' Yfrp&tia. .
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