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CERTIFICATE OF DEATH
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Secretary Insurance
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11• Florida St. Lucie Fort Pierce Iw 1707 Pasco Ague
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IA• Frarnoes ,n 1400 Binitey Dr. Ft. pierce, Fl 33450
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I« Bur' Hillcrest Metnrial Gardens Fbrt Pierce, Florida
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~ ,a July 31, 1980 9:10 P. Y _ _ r
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„ Michael J. Costello,M.D. 2215 Nebraska Ave. Suite 3 D Ft. Pierce,Fla.
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~~r~c••..,r 'A" Bleeding (heQOptysis)-- _ _ ~ 24 hrs.
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~ t1 _T_hr_omb_ocytopenia _ ~ 24 hrs.
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• k, Sepsis ~ 24 hrs.
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• b d • tru• •ttd a~ornet copy of th• total S~'768~
eq;strar -on fi)a in the St. LucN County Health Depsrt-
~ aant at% • Piercq_r#hArlds• ~ ~ i ; •i 1 3 r.~~ ' i : 2 ` ;
M of v~id;ur>aea raised seal of the St. luci•
My y' pepartment K affixed.)
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~ , ~ ~ N. ! D. MILLER, M. D. - - - -
. . - . • Health Officer 6 foal R•~hai - -
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