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CERTIFICATE OF DEATH "tt
FLORIDA tow nu NO. 332
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s 1~~~ ri June 1, 1979
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,e Probable elmotlitis 1
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T nereoy aAN'Y tttiia b t» • trot and aorreet copy of the Ilocel 4S4~ar: ~ # .
Rpistrar"s teoord on file M 1ha St. lucN County Fieatth Depart- ' ` '
mant at iwrt Pierce, fbr'Idr. ~ ~.y • ' ~~x'- , `4'~r
~ 8 Pl1 2 46 ' ~ `~F~-:fit= t _
(Waminq: Not valid unlaaa rsised seal of the St. lode - ~ t
County Health Department w affixed.) I ~ i : _ • •,~~.~r, j
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N. D. MIIIER, M. D. !i ' ~ - ~7~~,~ ~ y ~ , - -
County H Ith Officer 81 loci RegiNra~ ~r ~r'~---,, ~.7~~
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