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CERTIFIED COPY Of ENTRY IN THE REGISTER OF DEATHS. - BAHAMAS
sNE BIRTHS AND DEATHS REGISTRATION ACT (CH. 121).
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ti=nnE Of DECEASED
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SE x ~R. ~ WID. ? DATE OF OEATH DATE OF 61RTM AGE
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! e~»a 1~c. SIN. I~ Drv. ? OA MONT AR DAY MONTH YEAR
OF DE~TM ORDINARY RESIDENCE
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~~i UDATlpN NAME OF HUSBAND/WIfE OF DKEASED
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~ ~ NAME OF MOTHER IMAIDEN NAME) ~N
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'ASE OF ~
SIN. ? ON. ~ UAY MO. YEAR
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P:~ASE I~A~"~E OF FAiNER f~IEO AN~' KEG V ~ORN
COMPLETE ~ st_LUCIE COU~~~sIA. ` ~
4tOGC~ F`~~T COURT ~ .
'-ttS ~I':VV~ DAY MO. YEAR j
C T{ON ~ ADDRE55 - MOTHER AND!OR FATHER Rf CORQ vE ` SEX OF CNILD DATE Of lfltiM/DEATH
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~ :~Ri1FY THA~ TME ABOVE PARTICUtARS ARE TRUE
THE BEST Of MY KNOWLEDGE AND BEUEF. • S~ REUTIONSH~P
~
~'.5 SAi15FIED AS TO THE CORRECTNE55 AND r '
5'~~f1UENCY OF THIS STATEMENT AND Of THE tHl,, h~/~ DAYOF 19~_•
:~E~ICAI CE FICAT F DEATH AND REGISiER THE DEATH_ _-t{S =..~j--~-----
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>SiST?NT . ~ •'r
~ S i R aR REGISTRAR
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CER(IFI_D TO E A TRUE COP AN ENTRY IN THE REGISTER O DEATHS. , ~ s
•VEN AT TMIS ~e~~DAY OF Q~ 19~~ ~ .
GIS AL
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5~57EM;CERT ICATE-6USINESSSTS?EMSIiD.~ BOOK/rr~~ PAGE LJ~j8
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