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"r"'""" ,,,,,~Ei6416 CERTIFICATE Of DEATH "'n rD-
wru aAnaa,c~ FLORIDA sous Ru ra
trr! olt~rt~auYE f1EO r100?E U1tT EE11 OATS a DEAM /rw. •f, f•J
p fE1M
~ E. OVA ~ A. WRIGNT ~ Mate ,Aug.11,1979
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p 71 I E .Jan.21 1908 Tnd.~ctn Riven
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tta li,GGian Wnigh~ 104 Deanna. Lane Fx. P.ience - F.t. 33450
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f tMYE Of AT1Ef00q RI1f1(11W r OM! 111M1 CElTIfIE! /1sr• t'rU = MONOI?ICED OEAD /rw. I.r. 1•J fEONO{11Kls DEAD /r...1
7°'- ~ «•AU USt 11 1979 A* Y
N1111E AND ADOEEf Of RE11RH /t1TE1CYIN, YEDKAI EIfAYreEj /fiM r rw1 _
Franklin H. Cox M. D. 1000 36th Street Ve e
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M11001 G.VE
ST'S f~` `'tiVatural death -Cardiac arrest - i Inctan _ _
~ ~E,~ DYE /O, q w: A aosEaewct of. 1 """r o.l.....,..I..e J..r
.J Arteriosclerotic heart disease ;Years
Ole lO, Of AS A 0016lOAeNQ OR
1 t•4rw1 ~.r..w...IM r~ Jlr!
b I
nn o/wEe slr+~RCANT aofanors~..aw.....r.a., r J..r w .....L.r r a,.. p... r rwrr 1 Mi . A1/IO/ft nn.+I, wAi CASE lEfEE!!D TO Y[OICAt
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AccloEwr, su1cIDE « owtt of s+11n~ tr._ si.., ~.J wouE or pwtr sESO1aE wow swtr ooaluEo
tEi «YwDETEtl11wED /lM~b/
A. D? Y J
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"I HEREBY CERTIFY THE ABOVE TO BE A TRUE AND CORRECT COPY OF THE LOCAL
REGISTRAR'S RECORD ON FILE IN THE INDIAN RIVER COUNTY HEALTH UNIT AT
YERO BEACH, FLORIDA."
THIS IS NOT VALID UNLESS THE RAISED~SEAL OF THE
INDIAN RIVER COUNTY HEALTH UNIT IS AFFIXED.
COUNT D CTOR, REGISTRAR
~ f
: ~ 9 t;~ ~ 19 i r ~6 PUT'Y REGISTRAR
ST.LUCEi::,~~Y.ii~ w
- ROCsER PI?J~WL a
c~ee,~ s~u~i _ Box 32" PAGE 740
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