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UIJITED STATES OF AMERICA.
COP'Y OF RDCORD O~' DEATH
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I, ttte underaigned, hereby certify that I am clerk of the T.°.'~.......ot. Barastab2•
that as auch I have caatody of the records of desths required by law to be kept in my o~ce :
that among such recorda ie ana relating to the desth oi
H~rbart Allan Minra+
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snd t6at the followin~ is a t~rne copy o! so much oi esid reeord aa relates to eaid deaf6, namely;
Dats o~ desth...... Nov~b~r..Z7t~ 1969
Place oi deatb.......~~Y...annis).,Bunstabler..Maas
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Nsme „a!rb,°,rt Allan Winrar
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u ae~....a L...niei. ..w..«t or a.~«.w .o..... a.. dw ..w. ..a .c r..~..a:
Ses Male.......................... Color ~
3ingle, Mxrried~ Wido~ved or Divorced .............M~urr.iAd...........................
Age ........zS............ Yesrs .......p ~dontbs ........=g............ Dsya - a ~
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Keaddence (Sp~uttb~?.. X~wtaat.tt«.~la~t~t. ~
Occupatioa ......Betired wri a
U. 3. Wsr Veteran ....~KV ~`c ~"~.-~j°w
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Plsce oi Birth -..~1asd G
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FATHI~K MOTHF~
! Wil 1 ia~ iliurow Maud Frost
Name Ddaiden Nsme
~ Plnce of Birth. ~la~ Plsoe oi Birtb.._~~8~
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' Csnee of Desth ~cute„Bronc,hqpn4~oqp~~~.. . . .
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Place of Burisl ..Yar~outhe..M°as :........................Nsme of Cemetery ...!lA~f.e~lo~k..............................
Date of R~eoo~rd,._.....~oyaabsr_..~8,..1969-__.._...._._.w....._....._...._..__ _
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_,,,~,.Y And I do hereby oerNty that the fore~oin~ ia s tr~e copy irom said reoords.
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- ,f , = on tbi~....._.____.28th......_... day oi. 19 6
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