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49'7039 ~
sac. of florid. CERTIRICATE OF DEATH
DepattrrleatotHedth•ndR~h.blliatln8.rtiees trl?rt nt.[ No._.____
VITAL STATI6T1(:e F L O A Z D A a~olsTawa a NO 461
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IN Fhank Skub~.c ,MA.~e t Au ubt 13 1974
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a... the ~ IN Au ust 14 1978
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1 Mroby oertity tha to be a true erld correct copy of the IAUI 49'7039
Rsflistret's record on file in the St. facie County Health Depart-
Itterlf at Fort Pieres, Florida. ~ w~ 22 ~ ~ 07 .
~1Nunir?q: Not valid unless raised seal of the St. Lucie
• ~ Gounty Health Depsrtrnent is sffilced.) FILEp R RfC 0 '
ST. LIlC1E~ Y A. ~ -
ROGER RA ~
N. 0. MILLER, M. D. CLERK CIRCUIT LOUR ~
.
County alth Officer 6 loci RegiR>LrA0R0 VERIFIf.~--~"'-_ .
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7 ~ ~ ~~~iti
DsAr OeplAy Lord Reola.,lr
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~ X337 PEE 4~3
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