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F• Mar in 9
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Y'~L"~°['~ /0.Married TE•Mar Robinson
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~ 1~ Yates Funeral Home, Inc .
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DATE SKJ.ED /Yw, An. /rCy.+ n..~.~ ~ W r[ SIDAiED /r... Dr., r,.F NOUt Ot DEA'N
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*AYE Aw wootEss OF CEtnilEe I/N*sIC1AN, YEDKAL EsArwEq r?,r+ «r..+,J _
M T.Lee M.D. 9507 S.Federal H Post St.Lucie Fla. 33452
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~ "~T Carcinoma of prostate f Stape D2
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M Urinary tract infection ;
DYE m. d Af A OOF6EOIIENCEdF: _ I Iw..nal Mh.ww aw+ ad 9i•,F,
~ a Congestive heart Failure ~ ~
rytT On4t LGh~FKMIi OOnOltq!¢(.w.,iyr• c.M.iwrip r Mw A•w w nMaa r ran. + IMf t ly AYTOtSr /sl.r.h WAS CASE tf iE?tFD TO rtG+r11
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pp~~.l.??~I~1 ACCbtM, fYIC1OE r DATE OF rSwtr , Y., Ir.. NOYt OF INMY DtSCnEE NOW IN111tr O[CF#!ED
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A.. 77?. Y 774
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~~r•..w, .e..n, lecyri..Iho Fanldp. LOCATION 31t[ET W t. i.0. M Urr W tOVM: FAT!
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1 nsreoy o.rtity tt?is to be . trw and aorract Dopy o~ the t.ocal s
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Rag+strsr's rsoord on file in the St. ltxle County Heahh Dep.A- El.ERK _ , ,
ment at Fort Pierce, Florida.
~cstEe ~RSFr_r---- _
(Warning: Not valid unless raised seal of tM St. LucN -
County Health Department is affixed.) 4~'7~iJ~" - -
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N. D. MIIIER, M. D. _T. ` •
.County Health Officer 81 t+ooli Registrar , " ` : < '
.
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Os1~ Deputy foal Reoicr.,Er i`, .
~~~~31 P~i775