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. /r.(,vc~e,~, V. ZOVEFF , ,October 18, 1978
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F.Lv, ,.D 9'.cneGLcae ,k Se?~ww.Ce ',b`""tee r' /019-67~1t Avenue Nva~.
/ATtIEf-MANE 11y1 ~ ryM1 a•11 M01NEE-AAAIDEN NwME IItU r.DMt u11
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1.? Occlusive coronary artery disease Years
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~rlcr O•.t aHt q 111 _
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70a 70D IOC M 700
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70a 701 p0
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I a•rr.•11pr p lrt a00. •110/W IM IM.IS1.G.nor, Iw r. p.n0.., rorltr Y. .1•a rOUa
.t.rl occwatD o» rr °.K ea ro c•r,t11. Approx. 1 :20 A. M IIe October 18, 1978 11:55 A. _
77a _
CEtT1t1E~-NAME Inn w 1.wn - - - cal oa not A O 1"p0""'• o'•
7,, Rahana A. NawabL M.D. 7'JD kA~soc.Med.EXam. Ix /
a•Atllte(. AOWESS-CEtT/iER /q1/ a 1 • u.. M +w.. au
7>a 260 Ulmerton ~oa~, est Largo, Florida 33540
E~AI. CREMATION. ~EMOYA ~ 1 1 ,y ,tEt~ E1ERV QR pEMAtOtr- lOCwt10N un a. w~.. slan
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,~,,I r ~EC,+sr wruoE ~ lJ, own .eca,lto ...«.a net ru.
750
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j A CERTIFIED_COPY MUST CAS THE EMBOSSED SEAL OF THE REGISTRAR OF VITAL STATISTICS
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I hertby certify that this is a true and correct copy of a certificate
on file in the office of the Local Registrar of Vital Statistics of the
Pinellas County Health Department, St. Petersburg, Florida
e
October 23, 1978 ,Deputy Local Registr
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