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Stwt~ o~ Florid¦ CERTIFICATE OF DEATH
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Burial
:.e Ft. Pierce_Cemetery__~ :k Ft. Pieroe FI.-_____-_-___________-_--
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t.eApr' 24 978 ~:,eYatee Fun9ral- P.O. BOX 777 Ft. Pierce, Fl. 33450
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Hereby certify this to be a true and oared Dopy oaf the Loc~I ~ ~ - - ~ 2~ ~
Registrar's record on file in the St. Lucie County Health (?apart-
ment at Fort P~erce. Florida. t lifts r.n; ? r Ll;::'C u
(Warning: Not vi~;d unless rased seal of the St. Lucie ROGER PCi1Tf2:.:;
County health Department is affixod.) ~CEi?K CI Cu;~ r^;
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N n. MIt.IER• M. D. - ^ L C' A p
County each Officer b Rsgistrer `3Va)V`3J
OeN perwty Lore) Reoistr,lr .
BOOK319 P~~E2~90~