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stag of Iriorida CERTIFICATE OF DEATH
Departtnaat of Health and Rebabllitatin 8ar~icaa F L O A I D Jl **"*a nu r.o. . _ ,
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~ 4'T7331
~ ?g~p FED 27 P~! 12~ 00 - _
I hsroby osrtify thla ro be • has and correct copy of the Loca~ -1-:
Rspisher's record on file in the St. lucls County Hselth Depart. fIlEOI~hGEfCU~ttt) •
1 nIS1M at Fort Pierce, Florida. SL LUCIE CCU`t TY. f l A. ,
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ROGER POITRAS y''.~;~':" ~ . 1.q~, ,
(11Vsming: Nvf valid unless raised seal of the St. Lucie CLERIC CIRCIiiT CO t ' " ~
Count~? Heslth Department is affixed ~ ~
N. D. MIIIER, M. D. 'r~<:~" ' ~ . .;:~3 ,rN''
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i County Ith Officer d local Regisrrsr ~ ' ° ~ t".~',"`'.
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Deputy local Rea~~r•>.r
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