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,,,~,~,r«i,,; ,~,rrri,i,i,»i CERTIFICATE OF DEATH
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,..;E,E.E 'T'heodore J. Gillen Male ,.Nov. 3, 1975
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6602 ~ White
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Ft. Pierce >kLawnwood Medical Center >ti D.O,A.
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- R U S .A. +~Ma ied ++.Jessie Stevenson
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~ - '"~"""°l~oger L. Byrd Port St. Lucie Funeral Home
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- nHooshang Kadivar, M.D. "L~5 Nebraska- Ave.. Ft. Pierce, Fl. .33450
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(nw,t;o,4 - ~ a - n?. November 7, 1979 _ .
1N<~p GwV[ IElrreutE CAUSE tpl'fl OAL? OIEt-C/rie Ire Uft EOt) AA 3!r IaAI ~ ~rr.d M~.ww....r rr •w
tE- r+~+M Widespread Bronchogenic Carcinoma of the Lungs ~ ~ -
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nAfsrnir~ NOt Vaud unlace nis~d ssa~ of ~ St. LucN fiORER ~OITRAS .,~s-=;r.._
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