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• f S;- ' . - r 1• • . - r y- • ,a - .r..~.Lf.111":~ ,,,,~~1 CERTIFlC~?'TE OF l3EATH M1• r•. - _ _ _ _ w.•a w•lriwt• F t O R 10 A /ew rlls 4e. b4 . ± 1\N swIM1A r1•ns IIMI r+ar 1•w s1\ aaaM•r/r..w..s.1 a rn.,1 N 1. IU1ROLfl R. ANKEt~N ~ MaCe _ ~ Ian. 31,19~p IMr..1 ~ = «aa w wi1-. e.+r... ils, •tie_wl Fear oas 1 n•s I•o1s I ar o•n a MMfa.. ra. n.r ,ovN. a Mani I a•~ M 1 r \/«./.1 r?» r - ra 1 Ir\s M•A! r rrrs ~ - - ~ ~ ~S 19Q an.w./awcitiwaeani Nolwwalw•eallwllaf w.•.ra.r:...w.e•.+••~..r\..w) r~ ep. ti..~°',w~•.• F#. P.cthct >t lau~waod MedF~e~_C~~ 1~• Inpatient sars p MM/ ) tlllter or MNt oowNr M~`eIY•r/.1 swvlwl4 srwe n.r . r...r~....H ,~,,,I.,,.r„a . Cali ~o~, a UsA ~~t~l,~ec~ Ir1 Na#a,(.~e O~i~kee 1w~ie ~a.~n1 sncui iilr~.lli wrw~~ ww a Iw?nw ra« w r.~1 i+. ~w a M?wns o~ sewn - e4h1YnOM. RIM fQ•r 1s ts~-O~-QO7Q _ Iy ~P~l~d'Perww~tolt "»r...~.o A~Cllyy Fthlltll!! ns~a\c1-sous ~Owt. 1n.,lnwfnwlursl uwo.rrKr t/nlNrn f11«d « N! I•• Ftaltda N. St. Loci a 14. F#. P,i.~lce 1.. y03 Flo~'da Ave. yCe - f•L11s• a.rs :hss a.sels -a•p, . ' s -11•rtfl 11.111 rNSr r~M1s Wf 1, ROLGin V. Ankeny - Fdtth PQtib w./fNr•.a Irw rr.1. « wr) r.. •roass slwu os s 1 e w 1 ur a !ow s+•11 - • 1~, Na#a,G.e Ankeny 1Q3 Floncda Avc. F#. P~,~ce F~. 33450 erh•Lf•Irtl11>r1,prQY•1.01M1pIw.?./ flwnerolwwrrr IYr1 prulcff hltWlnrll s~•q IIV &r 1.-Tfte PaGKa Cenlttthy. 1e F~t•Pttvtce IAnko?ia1 Ft. 1~ ? . f , .t 111 8AIR0 FIWERAL H0~~901 N. 7#h $t. F#.P.~QhCe F~. 334SO - 1•«. 1wrM~l «.w.~..r...:~++w 71. o. e.•w•1/«w..w~« ti.~.«~+ ~WSwM.~M 1 suw+MN.....w..MM.u..r4~.Vr.ewrM?.w! •f~1.rr ?.f.1, ~,y ~ ; .t. • V L \ . j IR•.rr...1 si., an s~w1s fr., r... rp1 - w p•a ears swno /r.. M. IrD~11 a M•a j w+w01•In.orvwfrs~llwNOllrsrwwculrwsn.rrl.rf ji /wD••/•Iea•e/r../«.r.1 Mo~aKlea•o.r~. : ii ~ q•w•11.OOM3101CUrNN1 ~NIs11YM, r11~IfM 1.•YAMIIy+r L..A 2215 N®RASKA AVENU n..+s•.•. / ~ ru auMe w .lvs'.u .r.. e.. s. R •clemoa )1. ~(,~et ~ .f LZGF/fLC~~ A.'ll . ~ fcbruatcl? 4, 1980 II •h. ~I, VY1 )1 wWO~•111I1A1 11\I/f e\!r r\I rp.V III 11\I I f.4111, 1\I 1..1 Ilrr.r lr..w.•.1••wA1e s.1r M .•~I 1M • - L i s?.rrr. M - - - - - - - - 1 - ~uW ovAa.a•s•/ flrta. 1 ' ~ Iww....«..w~.e ~y aea.oas:aoiWa~:cta - - V ~ - - - V Iwr.rw.....r..rar1~ -eno:iawwK•r:eaa:~o.a-i«s..»...++~+.~.~...w......r,.»....s....~..n~1;i •wors.rsr..1. ,wewMnweareeKel N IMMrIIf /!/ra1. r««M1 ri - ELI s ~'t KiiM~n. sic+t.. n a wrn fr.. w... s, f IvM a w•~n aftw Liar w•~n~ acaws .waq.e.ne r..«.w! •1•At •1 Qf /M••.f. 1« r1•Cf p fM11It Ir... .v... Mw.1 J/.. b.M.~ HY•IgM SIMfr p • 1 O M Gr'/ rN qrM Y•rf Ir11~\I rR.l M IY•••N. W IM 1•. ~r~1~ rf. ~ 4'5251 :crenY Certrtj/~1TfiM /0 be 'a ifl/e awld OOf1'fwG a0~ ~ the LrOGa~ '_e;r' <AtoII) on fiie in the St. tutu CotxNy ?Nahh Dpert- ~Ev -'s M i~ 2 ne. ~ : < ~ c ~'o Ada. = 3 •.n.e-s raised seal of the St. Ludo 91tID CO 0 Caul.li , _ Ue~rartment is affixeda - . - a~~TY~LA. ~CfRCI~AT ~T _ N. D. MILLER, M. D. ; , - i?ERtf1E0______ ~ k•.* . • Coo health Officer b loci Registrar - v _ ::.~.~~b , - ~ _ s ~