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eat• of Rlo~ida CERTIFICATE OF DEATN
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?ERMANENT t Auth M. Morgan _ , Fewat_e , January 181978
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n 137-07-9~ is Adsdtting Clerk I„ Hospital
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Robert Mor ta4900 F.lal Ave., Ft. Pierce Fla. X3450
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_$eraald D. Ross MD _ n. Jt,~rtn-r,~ _-~3_,l,u.t__ ~1~=-~,~ -~~2q~j8
~ Priwa Vista Blvd Port St« Luci t••.i
AtOvAI ti CtE N.M[ lCKwtl(rs r•n a to.•• s••w
IrNRt ¦p~onains Refons
Aesovel r+_Chursti~sete~y~ Pospton_Plains(Morria Co,.~. N..J-•-
67Iit-`- :sat w., n••t tA, NOI•t-Nwwtr •?+D wJotliss - ~ „«n • • • wo . o.:e.... st•tr. Fort St. Lucie
w Jan. 20 1978 t»A r L. B rd Funeral Howe 8 16 S. Fed. H
Vim. ~a12 i-- - Of- M ~rwnrM ~ o•n Nta•to • tar rcnw.
a«. Ana 1i,~s..s. ~ >w Januar 20 1978
i hereby O~rfify 1hN b b! a frua and aor?act o~py of ttte eoc~
Regishsr's raoord alr file kl 1ha it. Lirtla Colmly HasUh [)eperl
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1MIstYlMlpr Nd vaNd IMdaM laiaad seal of tila St. lads . ~ ~ . ~ ,
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N. D. MILLER, NL O. . _ ~ ~ ~ r -
OHigr tI LoCd Ragistret
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