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• . CERTIFICATE OF DEATH
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ur >9nay Hsyes (Son) 313 N. 17th St., Ft. P3eroe, FLoo~ida 33450
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>r . 2 1973 I~ 901 N. 7 St. Ft. Pierce F1or3aa 33450
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Rpittrar's record on fllo.in tM St. ludo County Hoalth O~poA- ~ ;
moat a/ Fort PierEao, Fbrid~.
arrTi Not valid unless raised seal of the St. LucN
~(VU nR:
County Health Department is affixed.)
N. D. MILLER, M. D.
Courtly Health Officer lti ~ Rpistr., JUN -9 Iw il= 34
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ST: IlC1E C0tt~1~17 Y: Ft A.
Ooprhr Leal Reoiar?,~? R~GER POITRAS
CiFNt CMCUIT COUtT~
RECOAS KERIPIED~ ; ~
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