Death Certificate - Deadmond, Joseph D_9/11/1964�
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LOCAL
RECORD OF DEATH
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CITY DEPARTDIENT OF HEALTH'�'
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THIS IS TO CERTIFl.. that our records show ��.,+a.i/ � ot/ .P.a.oGv,,.e+
month day
Age at Death—_�—_Sex_
• years
Primary- cause of death given
Signed
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year - , hour of death
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street,
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physician or coroner �� address -� �
Place of burial or,removal—y � � `�' — �^�"-P"'� � '
. - �_ ._ . •' , name-of cemeterc - , � - - address � � � .
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Date of burial ��'�4� �
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