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~a.~~ CERTIFICATE Of DEATH "A"
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EMEMIrME JOSEPH ADDISON ~ VANSA_NT _ _ Male ~ Mdr.15,1980
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i7.. E>kP.O. Box 186, Rehoboth Beach Delaware 1997
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. NAME AND ADDAtSf OE U 1lIE, IiMrSKrAN, l/[OKAI E. AMINfr11 Jr.. .-.•w/
Dr. Ronald T. Allison 921 B. Ocean Blvd. Stuart,~Fl. 33494
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(fw?afrrt ACCIDENT, lIMCIDE wr[WIN,UE~Ir.. A..1•.r IaOIR Of INAMr DtXfI,f NQw 114UEY OCCUIrED
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I hereby certify this to be a true and correct
K copy of the Local Registrar's record on file in
- the Martin County Health Department in Stuart,
Florida.
(Warning: Not valid unless raised seal of the
• Martin County Health Department is affixed.)
Archie McCallister, M.D.
f County Health Officer & Local Registrar
~
ate Deputy ~ca Registrar
42396
!9~ APR -9 1~ ~ 29
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