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DEPARTMENT OF HEALTH ANO REHA81lITATIVE SERVICES • • • • • • • . STATE OF FlOR10A
DIVISION OF HEALTH
Alachua County Health Department
Tel•pltotT• (gat) 37bs321 81s S.W. ah AvM+u. P. O. Botc 1327. Gai+taw~IN, flariea 32602
CERTIFICATE OF DEATH '
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?f.MArNi•T IN1I OKEJ?STO~NAML• •~U• rwMa t.fr SEt DATE Of OEATM r rover+, s••, •eu ~
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s:•~'~os T. Michael Gutwein Male : i~oveelber 29.1975
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" ' Michael Gutwein Sr E1 izai~th Frey
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t:av. 29, C~_,5 Sunshine State .Mortua -=Service, Sanford Florida32771
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I HcREBY CERTIFY THE ABOVE TO BE A TRUE AND EXACT CO1~"Y OF THE DEATH
rE2I: KATE FILED iii THIS OFFICE. 2 ~ ~ '
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~ OC1-291976
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(DATE) ROBER yAITOVE, DEPUTY REGISTRAR
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