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CERTIFICATE O++F DEATH
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trrE «CE«NT-NAS,! IMSI WODIE LAST fEt PATE Of DEAtM /U., t.,. T.J
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GEORGIA LEE DAWSEY FEMALE ,MARCH 19,1980
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A<~E~lrs,.,.n/ ~r~b r own Noun F Nltfs Feb. 17 19 Q. SAINT LUCIE
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~ FORT PIERCE MLAWNWOOD MEDICAL CENTER °';~pA""`~''
sate or tItTN p/ r. i. atuEN or wIIAT coverer t4ttlEO f4v[t slAttlED. nRVIVING :
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uwf tE,IOENCE AL~$`»~/ USA ,"o ~s.«,n/ n. TEAII~IA DAWSEY
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•O0O ~ 267-42-2536 Lam' °
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FLARIDA ~1INT LUCIE ,kFORT PIERCE 2104 Ave E „yes
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GEORGE WILLIANS LENA JACKSON
- IAN)tLLANT-.u»E /T,,. «?..r/ ue,D ADDfESS STtEET Ot 1. r.D. ND. do Ot tows ftwTE fI?
I..REV. TEALt~lA DAWSEY (/..2104 Ave E Fort Pierce, Florida 33450
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- Itl- PINE GROVE CEMETERY Fte- FORT PIERCE FLORIDA
fuNtu? ECTOe~ tV1EtAt ND»E
~ - T~SARAEi MEMORIAL CHAPEL 728 Ave_ D Ft. P' , rce, Fla.
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j~ WAYf Ot AtIFepING nlr,Kuw If OTIIEt 1NAN ttillNTt /I,n r,wr/ s rtOe,OYnCED «AD /r.., er. r.-/ ItONOUHCED DEAD IIw/ }
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NAME AND 1IOOtES or ttenNEt,ntrSKUw, »fOKAf E>;A„Ie,Ee? rT,N r /..r/
~ German Sanchez-Casis, M. D. P. BOX 188 FT. PIERCE, FLA
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tffNSTW DATE tECEIVED t. tEWSTEAt rra. L.~. T.J
" pQI~ITIQ,6 • /~C /a;~ March 25, 1980
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~4 ~'~;E CARDIORESPIRATORY ARREST ;IMMEDIATE
4{R! tAS/ OUF t0. W AS A COe4fOYENC~ Oi, ~'"W w~~ ~
` ~ ARTERIOSCLEROTIC HEART DISEASE
Out TO. Ot AS A C0,6EOIrtNCE Ot. - t'~VO' twwM race ~ ~ .
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T,. NATURAL n•. N/A r,. N A na N/A
~rnAr~.r +iOt[ rs,...r. s.. nAa Of INM.-A• t,..r. 4.-. .rw.. Isc+n..N•n f«K+E. toutlON LtEEET Of t. i.D. W. CITr' O! TOYMf ffAn
Met fi.w, 5, 1, r .r./ rS,w.h 1 '
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a m N A nE. N A o.
nan.by oertHy ~ to b.. trv~ .nd mn+~cr copy of a» Local 19~~0 I~AR 26 PM ? ~
QM:otrer's record On fll. In 1fh. St. Lucf~ County f~INMh DapaA-
RIerT of Fort Pierce, Florida. FILEL'!!+E%I•ECbKDtU
ST.LIICIE 000NTTY.F`` A.
e (Wam+ng: Not vend unless raised seal of tfie Sf. lade ROGER POITRAS
E County ~Ith Dapartmertt is affixeda q.ERK CIRCWT COU
l IIEtBiIR VERIFIED • -
~ N. D. MILLER, M. D. ~ .
GOUnty li~altfi Offker dr L.ocei Registrar
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Oete L,oal Reoistrar .
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~~«~3?8 p.~E X84
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