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CERTIFICATE ~OF DEATH
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~.m~icrr~s~ CECELIA SHAFFh'EP, :.Female ~ October 20 -1~73 ~
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IntO~MM/t-NAME ~Wt~G ADO~ESS ~s+ra oe e•ri. wo., an a~ w..~. ww. r.~
~h Albert R. Shaffner 1105 Beach Court Ft. Pierce Fl 33450
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Uct. 24 1973 ~.Yates Funeral Home Box 777 Ft. Pierce F1 33450
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Gounty HaaMh Dep~~tmsnt is affix~d.) ''~,•'~~s~;,~t~ -
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N. D. MILLER, M. D. is ~
Health Officer b loul sgistnr " . -
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