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e.• EUGBNE BENNETT WILLIAMS Male , OCtober 1 1971 3
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w Ft. Pierce ti Yes N. 1316 Boston Avenue =
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o . Florfda ,~St.Lucie ,kFt.Pisrce ;~es 14 1316 Boston Ave. '
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„ Bennett S. Williams Mary Virg~nia' Loftis ~
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~ Bleanor SulZivan ,~1314 Boston Ave. Ft. Pferce, Fla. 33450 ~
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Burial Ft.Pierce Cemeter' w. Ft. Pierce Florida ~ ~
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E x. ,o. ~ctober 6, 1971 ~
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~ ~ nereby ostiity this to be i t?us snd correct copy at the l.ocsi ~ i
~ Registrar's reoord on file in the St, lucie County Health Depart- ' • , ~
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ment at fort Pierce. Florlda. " 4,* . i
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(War~ing: Not valid unless raised seat of the Sf. luci~ : ~ ~ . ~
Counry Heatih Departmen~ is affixed.) . , ~1Y,.' .;,_1
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N. D. MlllfR, M. D. s:`;. f ~ - ~
Counry Heatth Officar d~ Locsl Rspiitrar ~ ~ ; .
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