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CERTIFICATE OF DEATH
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c~~y tAts to tx a trt~ arLd L camty li~altK D+PaA-
fill in the St.
~~,gtrols record on .
ment Fn•t P~erce. Florida.
Plot va:id unless raised seal of the St. tuci~
(yyarning: artme+i1 ,s jffixed.)
eouMy Health peP
N• p. MILLER. ~ '
Registrar
COUnty Health _C` .r7
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