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Re~. ino ~ PAIIL FRIDERICK I,IPPM.ANN , ssle ~ June 28, 19?2 i:
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Frederick Lipp~na N. Marie Deutschmann
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~ ~ ST. LOUIS COUNTY HEALTH DEPARTMENT
~ 801~~Q BRENTWOOD BOUI.EVARD i
283221 i 1.Eup ANC 1i~6 pll~~?yTON. MISSOURI 63105
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alT~~~ # PARKVIEW 6-1100
~ ~R C1i:~U11 R4u~i s
. G~E• - JOMN C. MUpPNV. M. D.
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" C. HOW! EILER. M. O.. oR. P. ?~FC4K0 YEH't1E0 ~ , A{fIfTA1/T COMMINIOM[R
~ COMMINION[II OI M[AITM ~ t
! ~ ' .,,~~.~,y?a';:.~ .i'~'-.. H. CLIFFORD MITCHELL S.S.C.[.
~ N~ L~A PN • ;~"+1.,`~Cti`L~. 1 J;. ASH~TANT COMMI~f10N[II
~ ~'~tis.~~'~~TA~~ IOR [NVIROMM[NTAL MLwLTN
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I certify that this photograph, in ~impresee~'~ritfi the aeal of the ,
~ St. Louis County Health Commi~$ r, is a t~ ~~nd correct copy of ;
'~ac~ ;
a death record, the original o~-~}tb~~ch is_ ony:, i~n the State Bureau Y
~ of Vital Statistics. Witnesa° tQ~( sar~~te xar of Vital Statis- ~
tics.and the Seal of the St. 1,~ '#g'~ t~ a~~~i~Co~nissioner, this ~
X, -:a•~.. t
~ date of :~f~< 'I•,~"''~ • ~ ~
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AssfstantnCoamissioner of Health `
- John C. Murphy, M.D., ~
JUN 3 0 1972 Registrar of Vital Statistics ~ ~
No. Per_
F 227 PA~~
~~3
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