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NGRTN CARULi'JA UEI':•?iTA1E'rIT OF iiU'. ~.K RESOURCES ^
x.1.1....:.057-0L DIVISION OF HEALTH SERVICES -VITAL RECORDS BRANCN / OG(/~~(//
D"°^"~\ CERTIFICATE OF DEATH
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• ,N, D.ct.srD S~ti;luel George Latty l.'a i e August ~ ? 978
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bacon Highlands ks"'Y"`Highlands-Cashiers Hosp ~"°'d.O.A. ~ Yes
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I ~ 1:1r Richard Latt E I I SWOrth, /Aa i ne Son
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Cremation 8-15-78 Carey Hand Crematory re Orlando Florida
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8-24-78 „e Freda lx1~ Jackson, Deputy x Harry E. DJeal 472
NORTH C~Dl~~?
t,x~.s Register of Deeds of the aforesaid Count and State do
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he~febSy:•C~@><'tify a foregoing true and correct copy of the record as
~~'in BocY , Page, in the Office of the Register of Deeds of
_ ~ ty~,a~i olina.
.t and official seal, this ~ day of. ~ , 19
.d.~ ~~it .
~ , s
gi ter of Deeds or N.acon Count , C.
I919 QEC 21 Ph ~ 09
fiLEC I?Npp RECOICGtU
ST. IUCIE COUNTY. Fl A.
ROGER POITRAS
CLERK CIRCWT COURj,
REC@RB VF_Rift~O_
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