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~ CERTlFICATE OF DEATH
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~~K °~O~'~" ~ Kell • Female l Ma z5
~ "'''~0°~ ~ Clara ~ae Y
. ~ST~1~ l. AGE~?~ w~e~~ ~ rt•~ ' c«:n ~ w O~E OF MtM ~.O~+L Mr, COINIIY Of OEA1M
'ma "r'' ""'°'...«a".~w~' , ~June 21 , ~~9~7 Saint Lucie
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""""iO~"° gt. Pierce A':emorial Hospital
Fort Pierce yeS " s,,.vn.ws.ousE~•«~.«~~?+~'""""
a ww?r coa+nr ~u+c~. ~vc~ „u~co.
~ fU?TldM~lM~rrNw• ~r'ri°~e~°in"" „ Frank Kelly , 1
• Missouri U.S.A. » •~~~u~,~m t
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•M~ .a... w.. Own Iiome
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~'M~'" n. 386-24- Iiou s ew i e ,~,,,,,,Ea
. n` °"`.ro'"".°"°~'~"°" 'w s York Avenue
. .~~-f~.n co~. e s ~w. ~ 307
,N_ Florida St . Lucie ,k Ft . Pierce ~u. Y ~
~ ~MO7~+El-M~bfM NAME ~rN
Alice Genera
~wn~Ea-«w[ ~ . i
George Evans - - !
~f. rwawG w^..osESS .~wn a..~.~. wo-. c~. o~ w.+. w~. w~
. 130? Yorlc Ave. Ft. Pierce, Florida 33~+5~ . ;
Frank Kelly I~n •»p.~•• ° '
~h ~ENrEt W~nY O~+E t~uSE ~Ea taE IOt hl t?1 kN ~~r.u. o.au K•*w
1A~t 1. OEA1M WAS CAi1SED ~r. . .
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{ ~ 2! _ ~ wvr0?Sr ~F rES •r~.e nr«..es ca.-
i , A~~ Iti~ O~ r01 LMU~ r M~IY~~ CY/M
CO!~~Y~ q M~r~ Nr~ ~+M Y++il~ M Y Gw~w M~W+
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I '1 V~i f ,~/L' ~ ~ ~ ~fh~ Ir~M~ M MIN~ M~ IVl I W~I~f ~4 Ar 1~ 1
i .,,a.,... •,•w~ ~~OU~ 'eWw uuY~r OCCYiaE~ k
p~ ~ Y1YMlY
~ ~ At. M. 7f~
~ p~aAl~1t .or. s.rn. r.cFw•. + lOCwiWN ~ suar a L~.~. wo.. uA w~o.r+. n.~ ~
INAMY /~1 WO~K R, ~Mp~~ ~ . .
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(,ffhF1G1~ON- T G /~f~ ~ '~~/V i~ ~o ww uua~w s~.no_
?IItfK1/W~ I'~r~ ]IC 71/. .
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T pc~re~E~ O! CO~OnEa~ o~ r.~ us~s u~•p•• .ow a w.,~
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CERTWEt-~+AME ~ p ~4 ~ ? +
J g gatscha M.D. - ~
ts~. • • . stuu o . . .a. un w w•• 7 ~ ~ y !1
. . ~yyM() ~CEtfiEt T~ n.~ p++~ A ~ y~
)II. n t:' AT11 P ?OCATiON 4n q rO~n+
. ~ ~t~4 ~~r~ Etr Ot CifMAIJicY-N~u1f
tiSouni Park ,,,,_Potitiac. Oakland Co. Michigan
I~emoval ,u. Perry .,.p ,
~.r..~ o. ,a..
~ ~TE 2~~~~n~'~ "'"~'o~.°z"E ~erce°'~Lnera~ fIome • St . Ft . Pierce,F a
own uun[o ~ocw? a[auuu
May a ~ / ~:s -sr.~wT+~ :w '•~1aY 25, 1971
r. s. s61z f -(~ft~yC~LG ~s~ It
~ p~r.19T0 ts~
~ 1 henby aertify thi~ to b~ • true and oort+ect oopy af ths Loml !
Replitrera r+soord on flk in th~ St. Lud~ County Heihh Depa~1- !~r-~~-; , l
It1~flt at F
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CouMy F{salth D~partment is affixed.)
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N. D. MILtER, M. D. ~~~6P ~Q~TIt~1 .
t+;C~1T COIiI~T ' `
Gounq Heslth Offiar d~ Local Rsg~tra~~E~K C ~ ;
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