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24. ACCIDF.Iii ? PLACE OF iNJZ18Y (~.q.. is or ~~t ~ iNJU9Y OCClTR11ED I •
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HOMICIDE - ~ oHic~ b1dQ.. ~teJ Ne1 1N~i1~ a! Wodc O ~~1 _ ~ tLat I lut ww 1W d~cwsd ~
w (CiT1f OA ) ( OtT21iY) (SlAiE) 7[NE ( W (D~Y) (7~ar) (Heur) l ~
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wDY 3.3 (11-1-56) ~ ~
iIIED ANU RECORDE~ Viul Aicerd~ S~r~ie~
S1. LUCIE COUNTY FLA.
~ State of Georgia 'n - CCE K C PCUIa
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~ ~~7~~'~/`2~7 RECOR9 YERiiIED,~....~.. ~ ~
~ Count of Walton ~ ~~G 2
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I hereby certify that the foregoing is a true and correct ~:y~~r~
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P~ts oP death as shoWn on a permanent record oP dea£~~-,~ ~6'/,~ 3
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