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State of Florida ~ _ _ .
Ucpartlll@nt of Health and Rshabilitatire Sarricea CERTIFICATE OF DEATH
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I1tfORMANT_NAAIE John Reel Isabelle Wilt
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I~ ~ A' McFarland II. P. br Bfax 601 Stuart Florida 33494 .
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k CftT1iKR-NA••E,-rrNOe,.rp, M IbJanua 3, 1977 11 55 PM
~ II. Ja:n_es A. Grav. IM. D. r
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"'uA ]PEE Ctf IER artr of a rro «'~ji Tlr ~ 27 ! 7
I>< ~~5 ut. [~cean Blvd.
EUfrAt,CREMATtON,aEAIQvAI wrrEnWCw~tATORr_ Stuart Florida 334''4
s..~~ . NAME locwTloN
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l~Y'1Z1 Gar't9~n It• _ Kavcsar WF+at Sri ' ni -
rprr, .•s, aut RINERAI HQ?•lE-HA•,I •?,r0 u • arNtr Ott r
I4 Jan 25 1977 ro . cm w r I..,, s •rt
~ .s. se,z t~l[tAl o „e Yates F<uyer Home, Bax 7'~7, Ft. I~ieroe, ~'1 33450 '
t9ev. 7/76 IA aEGISTWt •il/a a ntY t i
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I hereby certify this to be a true and correct ;
copy of the Local Registrar's record on file in
the Martin County Health Department in Stuart.
Florida.
' ,
(Warning: Not valid unless raised seal of the
Martin County Health Deparrtment is affixed.)
. _ r .
Archie McCallister. M.D.
~ County Health Officer >ti Local Registrar
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