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e of CERTIFICATE OF DEATH
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PEtIMtANENT ' l~ AL'BIU(~iT T ~'eiilfile , 6/ 1977
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'"~"'f"fD1""'-""r~02 Nvrth 7th S~t'reo't "'Fort Pierce Flor'da 33~5~
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w Cremation _ ,a. Ft. Pierce Crc3natorium w_ _ _ _ Fbrt_ Pierce,_Florida _
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February l0/ 197 Yates Funeral iiorm i30x 777 Ft. Pierce Fl 33450
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ieret)y ~eATty this to be r true ertd aorrecY copy of ttte eroca,
2egistrsr's record on file in the St, lucre Cour?ty Fleaith Depart FILEG AHC RECrrQKUiU ?y
merit at Foci Pierce, Fioride. SROfaERPf?fTRASA~ 4'lOS,Z4
(1Narnirt~: Not valid unless raised seal of the Sf. Linde CLERK CIRCUIT COU T
County yeahh Departmer?t is affixed.) - RfcCL~P,p VERIFSF~.. .
N. D. MII.IER, M. D. =
cramty Health Officer ft tAaal Registraf _ ~ .
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~h DeotnY local Rea•ct.wr 1
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