HomeMy WebLinkAbout0827 state of Fhuida CERTIFICATE OF DEATH ` ~ s
Department o[ Health and Rehabiutatire 8erriou j L O II I D A erwTS rlt.s No. ;
VITAL STATISTICS ttcolsTttAtrs No. 596 ~ '
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-SIC/IA e[GISnAe-SrGN~ R/t0 ar ttKY at01/t/ar ~
>~e au. October 3
_
' 1980 ? 3 Plt ~ 51 •
o-
' F lE0 tEtC FfCORDEO
~ S~_LUCIE COUNTY.FIA.
-ROGER POITRAS
~ ~ 1~! CI.EltK GR~UIT COURT
~ 1 hereby ~ffY this fro (De • hue end ooft+eCt oOP'y tr:ORf~ ~'EP.~F1=:1.__ _
ReQi:trers rrtoord on ftie In the St. lode GoaMr 1leehh Deper~
,,tent .t Fort PIeI,Ge. F,~Ide. ~86~91
'(WuoiEp: Not valid unbss robed sees Oaf tM Sf. Llude -
' County Yealth Department Is efflxeda -
N. D. MIIIER, AA. D.
Coon Health Officer loo~l RepYt?K X _
~
local Rpbtrar .
1,
go~331 P~~E 82?