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FILEO AND ~ECOROEO
St.lUC1E ~OUNTY FLA.
RGCEa FO~TRAS ~
CLERK C1kGUIT COU_
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RfCOR7 YF~~F:EO
EEe 6 9 3z AH'~3 STATES OF AD~RICA
. CERTi FICATE ~F DEATN
,~4'7~55 ~
FRODi THE RECORDS OF DEATHS IN THE TON1V OF HARWICH,
~iASSACHUSETI'S, U. S. A.
1. Date of Death, I Apri 1 23 ~ 1931
2. Name, ~ Lester Irving Campbell
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~taiden Name, - - - - ~
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3. Sex, and whether Single, i~1e
biarried, or w~a~w~ea - - ~rried
4. Color, - - - - - - - ~'1 tA
I S. Age. - - - - - - - _.--••-.....?1----•--••--Years---••-- - -6--------------- -••-•~lontlu---•--1?••-• -Uays
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6_ Disease or Cause of Death. ACIIt@ UTAID~S
i 7. Residence, HaTW1Ch ~Tt. M188.
~ g. o~~„~t;o,,, Set-up man - aeronautical Co.
~ 9. Place of Death, Barnstable. M.888.
10. Piace of Birth, JerseY C~.t~~ N• J.
s 11. Name of Husband or
~ w~fe, - - - - - - Gl8dY8 Dorothy Turner
~ 12_ Name oE_Father, Korria CB~Ib B11
13. Name of ~iocher. Nellip arker
(a[aidm Name)
14. Birthplace of Fathcr, Cannot be ~.~8Y`Yled
~ 15. Birthplacc of \tother, CS?lt".ot be learned
~ 16. Place of Interment, Island Pond Cemetery, Harwich, ~885.
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Gordon R. Eldred e
:r I ..............................................................................................~..................................................depose and say
x~ that I hold the o~ice of Town Clerk of the Tow~n of Hancich, County of Barnstable, and Commonwealth
~ of 1lassachusetts; that the records of Births, ~Iarria~es and Deaths required by 1aw to be kept in said Town
. . .
are in my custody, and that the above is a true copy from the r~ or~ ~f~D~~tjt~..i+? said Town, as certified
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~ ~ FURM 2l7~~ N. • W. INC.
~ - ~ BoQK 210 221
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