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of . . . .
CRY, WROYOM OR TOWN~MI? ~NO COUIRr
This is to cestify that the following is correcdq copied from a record of Death in mq office.
NAYE OF OECEASEO PLACE OF DEATN DATE OF OEATM
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MARITAL CONDITION AGE OCCUtATION CJ1 OF OEATH
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IIOCER POIT~A • ~
OI.ERK CIR~U{T COUM ~ . . .
11lCOIlO Y~RtPlfp Registrar of Vital S'stics
Oct 1 I ~9 PN'~Z
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D te of Issue
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