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CERTIFICATE OF DEATH "A"
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~ll.Et t. Miriam Fgnale ~ aTtIIle' ~ 12, 1979
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lErflA?•QEWTION, [LYOVAE, OIIt!/[MMs/ CEr[TEnnfr~~,Oy[E~~IEY~AII'ONf-[EI~Aw..Ew,,.j ~w~' LOCATION L~,..G.TSf.OI~TCjW~Y~~ S'A!E
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• ~ fr? Yates PL~r~e~cal Home,Inc., P.O.Box 777 Pbrt Pietoe FL
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Michaels Tovatt M.D. 2300 5th Ave•Vero beach, Florida 32960
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1 Hereby oartity 1l1is b ba • trw and cornet Dopy of tlta Lou+
Rpisfrar's record on file in the S1. LueN County Health Daparl-
meet et Fort Pierce, Fbrida.
(Vllarnirp: Not valid unleu rsised r/sal of tFN St. Lyt1a
County Health Department is affixed)
N. D. MItIER, M. D.
_ County Health Officer i t~0or I~pistraE ~ '
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DawrfY Local Reoiannr • .
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