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. MEDItAI EXAMINER'S CERTIfICATE 0~ DEATN r S' 3 O ~ 6 S
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'a ~u ~lale au ril 24 1932 43 r~s DeC 18~ I~~ir`aiq5 x~c a
~ H~ lo &t(HPIA(E (S?We a f«e~gn m q11IEN Of WtU11 (OUNIRYi t MARYiEO~]C AEYEt ARAkRifD? COUNTY Oi DfA1N
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4~ ~ H ~ 1~. FAiMER S NAMf F~tst N~ddb lott IS MOIHER S MiUDEN biAME Fast 1l,ddle ~0~1
~ Jacob Parker y Lena Bordon
~ c~ O i6o WASpE(EASEDEYfQINUi ARMEOFORIES? Ibb SO(ULLSf(URi11fN0 17. WfORMANT ~QEU ~~erick
~r~ ~'a~~~ Dr. David Denton S~~ t I?iSD I?lai• land ~ 21'701
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a~ EXAIYtIkER'S r'~- ~ ~ DEPfltr ~~ED+C~?t E~~t:v~R ? Dec. 18~ 1~75
a H _ NAME I~rP~I RObBl•ts,J Thomas Dt U ~~u~~u st-~r. w~_ti~.
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