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4~~~ERTIFtCATE OF DEATH EE""
FLORIDA
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"I HEREBY CERTIFl~ THE.•ABOVE TO BE A TRUE AND-CORRECT COPY OF THE LOCAL
REGISTRAR'S RECOR[~'OI~~FIEL•-IN THE INDIAN RIVER COUNTY HEALTH UNIT AT
VERO 6EACH, FLp~tiDA -
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THIS IS NOT.VA~~D_UNLESS 7HE~RAISED SEAL OF THE
INDIAN RIVER. COUiITY .HEALTH ,UNIT IS AFFIXED. ~(~j~,`,5.~,
_ ~ 4 CUNT H H D E ,
• 1980 JkN -2 AK il~ 57 .
F 4EO ~~IO RECpR0E0 EPUTY REGISTRAR
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