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491526 CERTIFICATE OF DEATH 'r"""'
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~ 491526 1980 JUC - I PN 2~ 4 3
t 01F tl1M LOaI FILED RNf orC0ltNi 0
Hereby certify This to be a true and oDR~Cf ~'Y
~ 2P:t;ctra: s record ort file in the St. ltKls County Health DepWt- SLIUCIE COU.viY.fl A.
1 rne~.• `ort Pierce. Florida. ~~CiRCU ClkJSt
~raRa vrRl~tra~
~Vv~n,tnc!: Not valid unless raised seal of the St. Lucia ~ `
' County Wealth Departrrter?t is affixed.)
n MIIIER, M. D. ~ €
N _ -
t ~ Co,, ~~y netith Officer b lorsl R`eglsttat
r_~ UeD?rtY lOGal Re~istrer ` [ .
..d
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