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CERTIFICATE OF DEATH 4569'73 /
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INYICNII~ OF IM:~I111 ` ^
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?IRMANINi INK DECEASED-F,M?E '+as• reou aasr SE; pATEOfOEA1N?asor?rr,ea..nu?
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wsrEUttala , ELIZABETH I,ASIiI~li GRIFFIN F a
RACE .,,.n. ,.raa, Artt?cu? a.w.a, AGE-ufr awa. ? .r•t awpt ? •a, QATE Of RlRiti ?iOw,a, wr, tCluMr p DEwTM
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Write 56 Au t 6 1920 Brevard
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• Melbourne h Yes Brevard Hos ital
SLATE Of NRM ?r s,ot w r.t.a., +urt CITIZEN Of wiNT COUNiR11 MARIIDD~ NEVER Aw<ARRIED, SIKVIVNG Si'OUSE sr aswt, OM a?sM ra.srt ?
uaw? Nar«su E. North Carolina{ USA w~El~arrie at?Ka,.l t5@brOn Griffin
••w,ra tMCwte SCICIAa SECIMi1i NUMBER USUAL CICCU?ATtfl?i ?awt taN a vwc aO,w aoArao asoN a [Mp Of MISNESS CM R+O{RTRr
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,.,,~,b... e,.t „262-20-4392 nr. Owner•
a+a++ct wsott t>t BeaLlt SIlO
as,tiN cwt aww? TREEi I
•,as+o,a- RESIDEftCE-STATE COUNTY Cyr, TCIMM, OR LOCATION
,y Florida to Brevard N. Indialantic ,w ,,Yes «a ,~,ot C21 2610 •A1A
fATr~R-NAME „ttr matat uaP MOT1R{t-A4lbEN /TAME saYt rArMf ratr
Is Unobtainable Lat3hle w Unobtainable
1 NfORAIANi-NAME - MAIMG ADDRESS s true a aJ~. ss0., tw. o* rorrw- ssq. tst .
,M Frederick E. Trainer w,Lot C21 2610 A1A. Indialantic Florida i
rART l DEw1N wAS CAUSED rY: (EtrfER CMtt r CI?E CAUSE f'ER iR1E fOR NS A1. AID kJ) ter>,ttw=patr w.rw ~
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rARt R. OTHER SIGNMKANT CONDRIONS: co..o?aow co,asnn?„a ro wr taw aor trusto q uarst one,. w a•.ar ? u? R1 rES veAf n,a,wos eas-
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CERTwCAtION- rwrw wr nu .o,sw aar reu u?er «,s+ ra/?we acne ow r w~.war w oewiw tKCaIttEO at w ta.cs, o„ w
?ertSKawer: YO a,o.,a a.~ w.e tow r??oa,es
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~ / 7 S n? a't- a S rlr / 01- /a't !o did not ti.. 2 :25PM. o : ~
CERTR*KATIOfs-AaEIkCAI EIIAMRVER OR CORO?tER: os, w {.s,e a w wprt o. w.t„ rwe otceee«, rat noro+r,cte Ny
ee..,..•ao,? a w eow .w/a rs aneu,W,~pw, .a rr or..o•., ro.ww wr nu ao?s
w.w? ouwea+o., ww o.w .,w aaR q w cwsen? s?•wo. October 12 1976 2.25 p
CEt1MrEt-NAME,a+st a w•an SIGNA oecy{ d mat arw,ayo•r,eua?
7h ~ • >1i. MD 7k. ~ /
AutKw4JaD0RESS- lT/tfR uete? a t.r.e..,o. un _ unre rr
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RUMAI, CREMATION. REMOVAL TERM OR Of?-NAME LOCATION t,re p rOww Wn
H. Val-Burial PrealaieHsysaEC!?e~Qm_eteruy ~f~+ ~P~ar~s+saic County, N.J.
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w. S. x612 face V n?t[ eEGls -slGrwn~ME~}~ awl{ ac to sr tow aorsrw
Rl..19t0 G e ~ ~ ~ i
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I HERESY CERTIFY 7HE A80VE TO 8E A TRUE AND CORRECT COPY OF THE RECORD ON FILE IN
THE LOCAL REGISTRAR'S OFFICE IN THE BREVARD COUNTY HEALTH DEPARTMENT.
(Not valid unless the seal of the Brevard County Health Department is affixed.)
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F t. 0 AHp RECAti ~.c ~{J
- ~ : ' ~ ' s~ L~c E COUNTI?.FiA. , Loa Registrar
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% RQG~R PQITRAS
. - ~ CLERK CtRCU1T C T
~~•~~4*~UYERIFtEt?
ate ~ 4569 ~
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Deputy Registr
• ~ `~??b~YZ
D. GENE ROBERTti • JOHN HURDLE VAl M. STEEIE LEE WENNER JOE WICKHA,M ROBERT L~.
NABO~S~ R~ rjry~EAD. JR.
D~sEritt i OiKrict ? District 3 _ _
CAairmaa v..•. t•w~....._