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S~ (j;;8i CERTIFICATE OF DEATH ~/
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.,,,,;,,,T r. THOMAS M. POLO J Male ~ Dec. 7 1980
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808 Emi 1 Avenue, Fort Pierce, Florida 33450
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NAME A!Q AOOeESS a cEEi1REE IMtSIC1AN, ItEED1Ul EAAYtNE4 I JrM r,I:r1
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EEGtiiEAE OATS EECEwE .• EEWSiEAE rr1•.. Lb. i•
».ls..«...,- ~. December 8, 1980
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b. IMWEOIATE UaSE E[VLt LL Q.L [!r!S[ rL JOL !d. 1.1. .1 rdd ~ Irrvsl M"we^we<
E.Sf TO
IeINEDIATE
EAE1 NI ~
UTAF Ni E
sTAfI.I( THE
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AI:CIOENt, StIKtOE r OwTE a YEIIILr rr., b, -../ EIOUL a nellLr DELCttLt EEOW IEEAIEr OCOYMED
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: ` I hereby oartity thb ro be • true and onrract copy of the Hoof
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Lucie County Health Deparf~-
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= =r-•, ._ Registrars record on
rner,t at Fort Pierce, Florida. 19~ oEC ~ 2 PM r o9
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' ; (1Alarning: Not valid unless raised seal of the St. Luc~
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~ County yealth Department is affixed) 51 LUCIECGUM1Y.Ft.A.
RpGER PQITRAS
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CLERK CtRCUiT COURT
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~'' ~.~ N. O. MILLER. AA. D.
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