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i ' . • , / ~ ~ t ~~~N~O . • a`~ • ! , 1, . . . ~ . . . ' ' - - - - - ~ ~ ~ . ~ . , ' C6RTIFICAT6 OR D~ATH • ~ ; + p~.w~ .1 ~le~ .d R.~.1i~w.. ~.•w ! L O lt t ~ 1l rr•n n?t ~ • ~~n. e?a ?wK ~ ~gr~ ~e~~sn~ s Ne. ~ . N~ItA1MN1 MN s. ~ w ~ - ~ 1letsle 3 e ~ Male z 1 ..~..«w...~c.r..Wt ~ot-wr ~ • w~e w. erww Ma ~ wa. ~ rwa ~ww Mw .~w~ .r w~e ~ ~ 660T a ,N r 1 » . ~ p. ~ «...t~.... , R~ lort pi~roe R~es ~ M Fort Piero• Me~orial 8ospital : ~ . 1 ' ~w rM M a~. r~at0. ~N <+.wi. a+r. ~re~ , a• lrlorida U. S. A. ~arr~e~"~~ 1~laddi~ I,e• 1lorri• t w«..n « o+~ a MIM» a ' ' 267-Og-6412 ~ ~"'~oa""~'sbor Citrae ~ ~ ~llo~'1ds 8ta I~roais ~ ~ort ~Pie~eoe ; 2ds" T1 S 23s'd Strest , ~ ~ w -welw wr ~w~ w Miiiie Sims w~ Sal ratte • • r.aw •eo~w ~..w~ a e•• s..w ~ ~ l~Qddi~ b~~ 81me 1 N 2 rd Stre~t ?t pi~rc• ?1 450 - MAN MMf tIW![a ~s. pMl~ oMt OM ~MIM M~ 1M r0 K M M~ M w rr w~ . - w l~ ~t+~tL Q~ rl1 t/1~' o~- ~ J-~~- ~ ~ p : ~ ~ ~ Z ~ l~l~?w~ ~ '1? W~ e..~ ~ ~ ~ ~ M 1~.~ ~v- j..~.- - . ~ ~ , ~ Mb1 OM~ l~OMr1CMp E01yM1~. air+~ e~r~» ~ w~ ~w ~w ~rrw nw~ wr • wr • ~w . ~ww wr~~.+ sw - O w~ ' , na . NOr M11Nt OCtWl~ ~~M ~rr ~r w~ r w~ r~ a~. r. ~ ' ~ ~ ~ ' ~M~f/~ ~N ~ ~Mtr~~ • WC~~1 ~MMU M t~.~. r-. 6w M M~S M~ ' ~ ~ ~ ' ' ~Q~~j~ W ~M~ M ~W Y~ W Y~ ~MIOM Yw+\~K! ~f MifO Mif. ! ~ • fp~~YMa ~ ~O e. Mnaf~i:..s. YY fl, c~ 1 14 I~ M 1. • . M~ c.»~. - ~ ~ «nrw~en a M M M~~ MeM.«~L v Y,e•r w ~Y w~ t ~ - ~o~: ~ ~ ~ - f ~ ~ ` ~ ~ , . : bw M Ow OaA ~ . ~M~t/~~ - ~ - ~ Byrisi Pine 6ro~re Oesetery Fort Piero• ~lorida . ~ h"'~"~` on~ ~r`os ~ 1~:~'~~i.•.S~ `~~t;~ierce, Ila. 3345a ~ a u . t~x+ch' 2Y~`7.~ ~ p..l~t! ~ ~ - - . ~ - - - i • i { 1 h~'M~? o~e~tff~? fhtt b bs • m~s and aorrect c+op~~ of tlw L~oc~~ ReQlan?'s record on fik !n Nss S/. lut1~ County Heahh DeparA . ~ ~w d Fat Pie?c~. Flaida. . _ • ~ ~YN~rnlrp: Nat valid unless raised se~l of ths St. Luci~ , . ~ Cou~~1~? 11~alth Ospsrtm~nt k~Hixed.~ ~ , ' ~ - . . ~ N. D. MIIIER. M. D. _ ~ - ~ Countp eltf~ pFfics• &;oe~l Rep:slr~r : . ~ 2 ~ - • r ; ~ ~ ~ ` ~ ~ : " ' . ~ . ~ - ~ DrPt~t1? Loul • Reoi~+.,~r _ : ~ : ' ` ~ . . ~ ~ _ • . I - = I ' l • i - • , F ' 1 a I - • ~ ~ aacE~ rarra.s ~ _ C~~P,l~ Cl~CU1T COUIIt ~ - 'r'r'_n. Yo9~FlfQ NO'l IO IZ OQ PM'7T ~ot~r2T7 ~ 21S ~ ; - 1 . - -