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489419
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:xat. at>1loeida ~E ~_-~ERTiFICATE OF DEATH
meat of title eyed MhsbiBbti~MpM j L O R I D A ~TATt /ILt No.
VITAL 9TATl8TtC8 wetae;TeTAw•s ao
pKEAlEp-. NAME •ryr M t ; E1A EllA . •rOwtw. teu r
prank NMN Perrilles s Male ,.November 25 1 8
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wcre of p tto
Cleariiater ,4 yes Morton F. P9.a=tt Hoapcital
STATE Q! MttII 1 r wpr M r.{.... w.rre CITIZEN d wflAi COII/etlr MARMEO, I'rtvle MARrEO, SrOUS! t r .rre, •nf rw~wer rrwe t
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Business Ra sentative fa Laborora Union '
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reAMinltesota /ea Beltrami Henri i ~ t... s t.~lu'al Route Box 2 ~
/Atlrtt-NARK rteM ertfw?l use MOTH[!-MADEN NAM! ew rite tafr
is ~ pe2'rill@8 fa SO a W11GlOi1R
1 WOWANT-NAME HALING A00lESS .iffier p e.1... ertl, erf p tptirr, NAA,
Zeds Smith Perrilles ,i~tral Rt.#4 Box 235 Bemid i . liinnesota 56601
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!An ¦ OTHER SIGNfICANT CO/eOtieONS= co•+ro~f carwsyru.ra q oa.w. fa .qr srunr to uvfe awa+ ¦+..ft • r.r AIROrsr • rES sn nrewwof cow-
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CE~TItKwTION-MEDIG?l pIAWNE! OR COROt+E!_ ow tre s.s~f a nOrf or oe.pr rwe oscew..r .eo.or«cew Dues
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CElit/ ¦-NAME Mme p fwra weoffe a trove A ..oMU. w..er.
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770 et b R. ~ N. ~ ; (~t~LLe:41fEr Ft_4 33c1 to _ I
N1IIW. CtEMAT/OM, IIEMOVwf EA.ETEIy Oe CrEMAtOIr-teAME LOCATION an a q.+n ft,n
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gl, 7.jtesurrection ?4ausolcuz
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pwTE trtlrrw, eMf, rear WntftGl MOMS -waiwE ANp ADOE[SS . ufur os e • • wo . em M ro•w. f~ re, tr?, -
~ed~tovember 27, l~~oss Funeral Home 802 tai " . rrison :+ve. Clem s:atar ^i~~~~a
EIleEEAt OR-S1GMAfUOE ~ EECd SK.wAru Own .tet~•eo ~x.. nG~sn•. -
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A _C~ ~ r° ~ CARRY THE ENIDOSSED SEAL OF THE REGISTRAR OF VITAL STATISTICS ~
~ ~ ~
- ~ ~~~e,~tify ~ that this is a true and correct copy of a certificate
-a :_oa:~f~~e:in~~the office of the Local Registrar of Vital Statistics of the
_ ~pina~l~a~~.County Health Department, St. Petersburg, Florida
r~-~"~- ~ ,Deputy Local Registrar
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489419
1980 SFP I S A~ ~ 59
FILED Rho fECOBaEO
St.lUC1E CpU!11Y.F``A. i .
R06ER POItRAS
CLERIC CIRCUit COUR~-
BECCRD RIF~FO _
338 P~~1 l42
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