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CERTIFICATE OF DEATH
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rre BURIAL _ tnPINE GROVE CF.Nlf'TY SORT f'IERCE_ , FLORIDA
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>r 29, _ 1975 - Sarnh Me~? on Ch e 2 e "D" Ft Pierce Fl
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~ nareby certify Nis to ba s true and oomct copy of the laai
~ Registrar's record on file in the St. Lucie County Health Dapsrt•
ment at Fort Pierce, Fbrids.
(1Nsroing: Not valid unless rsised seal of the St. Lucie
County Yeelth pepartmant is affixed.)
N. D. MILLER, M. D.
County Health Officer Registrar .
E - ~ ~ ~ 4.
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~ Deputy Local Rpfstrwr
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~Juo i1 22 fri ~
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483989
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