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FORM 29 - FORMULAIRH 29
THE VITAL. 3TATISTICi ACT - LOI fUR LEf ETATIlTIOYEf OE L fTAT CIVIL ,
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MARITAL STATUS
NAME -NOM SEX - SEXE TAT CIVIL
KIRKBY, EARL REUBEN MALE MARRIED
DATE OF DEATH AGE -AGE
DE OECES
MAY 31,1977 79 YEARS
REtISTRATION NUMBER
PLACE OF DEATH -LIEU DE OEC65 NUM~RO OrENREGISTREMENT
MISSISSAUGA 1977-OS-024740 .
OF REGISTRATION ~ ISSUED AT TORONTO, ONTARIO, CANADA
GATE p ENREGISTREMENT DELIVR~A
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JUNE 2,1977 JULY 3,1979
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