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CERTIFICATE OF DEATH 01-23077835/WNITE
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Hereby certify this to be s it'w and oarrett copy of the Loin ~~E%tt C. CU:'
Registrar's record on fife in the St. -facie County Health Depart- - .
ment tit ~crt Pierce fiurida. - )L'4 / v I u '
(Warning: plot ~a =d un~ess rased seal of the St. Lucie a) .u~-~
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County health Department Is affixed)
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N. D MILLER, M. D. ~ ; -
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County health Officer b Local Rep)strar _
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