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~ ~ i 3 3 F~~E s ,F} ~~ND REGORO~p . t ^ . ~OOK ; C~ ~ ' ~ a FEB ! 4 Pt1 !2 t. ~ ~~BU(} - ~ _ ~ ; ROGLiZ ~'U~ i ~t.;:~. ;.'~~:RK ~ ' 5T• ~UCIE COUNT~Is is e true copY of the dea~ih eerflficate of ~LOR~OA _ Flla iYiae ~attle a~ wiu be flled with .'t~;:.<'";~~ the StAte Boord of Healfh b the t~a~°ve Funeral \ i r r ~ . ~ ~ - . Home, ~ort My~rs, F6o. , _ _ _ . . • ~ . _ ~ . ' : ' = unera ire~sto _ - ' - ~ ~ Sworn to and :ubstribed before me, thts 21th . ; ° !1. D., 19 ~ r : . . ~ . _ d or ~f e PL't~.?~r.._• 6 5 • . • ~ ~lotairy !?c ~ ~ ' .~~~'~,ti.: ~ NOTARY PUBLIC STKTE ot F10RIDA at IkFGE A~IY COMti!ISStCN EXPiRES OCT. 29, 13fi1 lOfdDtD TNROUfiK FR[D W. DIifT[Lf40RtiT ` I ~ - I~ . • i\ ? ' • " ^ ~6 t . ~ . F- . . . . ~'.i • ~ f'. j . . - , ' , . r ' . T . : ;'•`iC~ ; ~ ~i ' . ~ s i , i 1 ~ f i i so~K 1~8 . ~8? ~ { ~