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CERTIFICATE OF DEATH -
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White 7P s. E E Se t.22 1906 Broward _ L
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- ~ -Deerfield beach 100 S.E. 12 Street
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~ ~ Married tr. Geor a Thomas Davis r'
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N' 214-03-7375A Homema-Tcer• 0~ H~ ,
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Broward ,~Deerf~eld Beach ~w100 S.E. 12 Street - ,»..OE~~w'~
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-T~..Geor a T.Davis ,1.100 S.C. 12 Street,Deerfield Beach,Florida 33441
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. r~Cremation tE.. ABCO Cre,nation t,Ft.lauderdale Florida
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T,Becker Funeral Home,1444 S.Fed.Hw .Deerfield Bch. Fl. - -
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~ o d D. Berliner N.D. 1500 E. Hillsboro Blvd. De rfi
rlCtSirA! E DATE RClNEO M rEGKTN.t /M... I.f.-7.J
CO•IDITIQ.t r~?? , Sub-Reg. Au ust 15 1979
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- f ' ~ CERTi F [ ED COPY
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~ I he~.~c e~tiify:~~e~~~ a to be a true and correct copy of the Local kegistrar's
recgid_ ~ci=le.azi`',e yoward County Health Department at Fort Lauderdale, Florida.
(iia•- dt~~valid~ •`a raised seal of t Bro yard Cv my alth De t. is affixed'.)
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• ~ County Health 0 facer and Local Registrar
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~ 8-17-79 Q~~~Z~
~ Chie puty oc#1- Regi tray
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485560 .
1980 HAY -s' AEI II= 28
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