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CERTIFICATE OF DEATH
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b.. January 9. 1979
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1 rtereby certify this b t» s true and correct Dopy of tf>f Loot ~ - _t ' t
Registrar s record on file in the St. Lucie County Hsahh D1pii'f`~ t y
rnent at Fcxt Pierce, Florida. f~
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(Warning: Not valid unless raised seal of the St. loth
s County Health Department is affixed.) ~ : ~
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N. 0. MILLER. M. ~ - ~ ' ~4•
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- Cour»y Neahh Off.cer 6 local Rsgistrat t'~~ t`
p~ Oetwty local Rea~~t?,1•
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