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tiState or tlodda CERTIFICATE OF DEATH
Department of Health and Rtllabilitatite t3eraipe ~ L O A t D A eTwTt PIAt tro.
VITAL BTA'M6TIC'e scelsTaw~•e No. 349
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IN Ao Gunnar Leide , Male , June 3, 1 $
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h Ft. Pierce lies Laxnxood Med_i_cal Center -
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..w1 NINw(f , SHeden `~f, U. S. A. ea`•rrled •\IrN••~lr Janet Leide
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' ~ ~ „ 098-243191 r; ~'sycatric Attendant Nerr York State Psychiatric Center .
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t~ Florida 1 St. Lucie If, Port St. Lucie "'Y'~$' wO t 610 Bre?nford Road .
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11 Gunnar_ Leide:• t• Greta •
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Janet Leide to 610 Br®nford Road, Port St. Lucie, F1a.33452
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R~• June 6 1978 t
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~ Hereby cerhty this to ee a true end wrrect copy of the LpOal F~EQ ANO R'tCONu1:U -
Registrars record on file in the St. facie County HNlth 0~»rh !ST LUCIE COUNTY.FLA. . -
ment at Fort Pierce. Flo?jda. ~tOGE:R POITRAS • ~ _ i
CLERK CIRCUIT COURT t~~ - ~~z' ~ •
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(1Nerning: Not va ~:i t,~"e,: ralse.f seal of the St. lUtlsi RaORpVERiF1E0.~-4-/J~ ~ 1.5"'
County tieauh i;e,,~rnne:~t is affixed.) rj
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County Ne th Officer RI locef Rpiatrar - y , - * . ~ ° • ~ '
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