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C~tTI}'.IF.D COPY OF AEATIt RECORD ~ . . ~ ~1 ` M.
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COMMONW~A~TH OF VIRGINIA-CERTIFICATE OF DEATH
OErARTMENT OF NEAITH-WREAU OF VITAL RECORO~ ANO HEALTH iTATISTIC:-RIClYOqD
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- Dec. 3 1978 5g .w.! ` ~ ~ ul 26 192 4~!
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Richmond ~ $ 0 7101 Jahnke Eto~ad ~ ~
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~i R chmond tX ~ 601 Circlewo d Drivo -~232~4 ~
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i°"'~ Jose h Rowland williams Rita P~ck• Williarns
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KOBERT SMITH M. D. ~~I(~3~40ND VIRGINIA '
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_~C O Maury Richmond, Viicqinfa ~
_ • ~ Joseph W~ Bliley ~
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Richmond Va.
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This ts~ to cei•tify tt~~ is ,~.~=~a' true and correct reproduction of the original record filed
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with the Richmqµ~; ~~,~I,:.AE:per~ineAt, ~f Health, Richnr~ncl, Virginie.
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( SEAL~ VOID IF ALT~.~iFD OR ?=7t
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