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HomeMy WebLinkAbout0202 51~222 ~' StAtP.>t Ft~~~~~~a CERl'1F-CATE OF DEAT't-i Dcpsrlment of iie~ith and Rehabilitelive tiervic.s ~twTC s~~c ao .- -. -- ----- - FLORIDA VI'('A1.59'ATISTICS qif.Ig~Ni.R 5 *.o (,~:~ ~OfCFA3lO-N4Mf ~~•• •we.~ ~a~~ ,4^ ~P~~t dl 'viaU. .c..~. r.., .•.~. TvPE OR PHINT ' ,~ . i1~) ~ F~eclorick ~• "-i~~:j.,~.•,n Jr~'~ i~t~l.l~ ;~`~VCiiOt~l t)~ .y73 ~ERMANENT ---------------------- -- ---- -- ~-- -- -~-- ~------------~, _ ~ . BLACK INK U~f a••q n~8oi. ~~HK~r ~w1~~r. ~~G1^..fr '__ ~~,.~o.~ ~ ~~.~ __ •. ~~ . _ ; ,.tf O~ ~~~1~~ w«.« s•., ~~~tirr Of Ci~sN ~K ~V~Cnr. ~~~n~~~~~~~~~ .v~~ M~1 ~y~t~u~1 ` .r Y , Nhite (,, '., .. r~. ?.~ 190_5 ,A 5:.. .,uc _~_~ . ~.. ~3 io -• --- - ------ ------~--•-------•-~- - •---- - - ~--~ -- -------- --•--------------------- ~~I~, IOW-/ O~ lOCA1~ON Q/ 0[AtM : ~••~•w ~.w ~..~.~ ~MQ~jO~\ U~ OIHIR NShiW~N- N~u( ~ ~~ ao~ •r ~.~..~• .,~.~ a.aN .w •.w~•~• fifi02 • s... ~.. .n o..«. ,~~ ~,~„ ,~`t. 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D. ~ Covnty iyCdllh ' ~• , ~ ' r - Otf~cer a loc~i ReG~strar _ : ~ - . _ - ., ' ,r ~' ~' ~ ~ ~~~J'Lc t t.- Li~~ ~. /r . : _ _ ~ ' ' _ , •~ - . ~t~ e~ _ .. .i--`. a~QUT~/ ~OCA) R@OiifrAf ,, j ~. ~, ~• e,.~ . - _ `_ . s- - . t ' %' 514222 19~1 Jr,'~ 19 P~1 3 33 F{LtG Rhl ~: (:{ir:~C (' SROGERf ~~' f.F~~ t ~ iil.`~ CLEPK Cif'~4:i1 ~~. ~ • a; r,^,?.'t Y. ~ • : ~. ~ B~~K 347 PA~F 202 ~~ _ _ -.. ~~,. _ _ _ A