HomeMy WebLinkAbout1368 CERTIFICATE OF DEATH 495'768 V ~
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''....1: »IlT T. NILBERT H. MARTIN Male August 7, 1980
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White 77 s< .October 23 1902 Indian River
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ret Martin InRoute 1 Box 328 Fort Pierce Florida 33450
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"I HEREBY CERTIFY -THE ABOVE 'PO BE A TRUE AND dORRECT DOPY OF 'IHE IACAL -
REGISTRAR' s REQORD C~1 FIlE IN THE INDIAN RIVER OOUIIY HEALTH INIT AT
VERU BEACH. ~I.ARZDA."
THIS IS NOT ,~i l~_ ASS ~ RAISED S'FAI. OF T1~
~,Tp~ ~~C~IY ~ALTH LNIT- IS-AFF'IXED.
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~ - 495'768 c.c.FliooD, M. n.
~ ~ ' _ aOLI1IY 1lEAI.TH DIRECPOR/REGISTRAR
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FLEORHCF,C~ 0
Y ~ • ~ ~ S~.LU%IECOJNTY.FLA. C~
s ROGER POITRAS
CLERK CIRCUIT COURT ~ ~Y ~~'I
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BU~~ PACE~~
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