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Death Certificate - Jackson, Sherman_1/14/1980RECORD v;�i%i;_ls:. � � � i•;�;SO?�Tt:.',�U,?'i•`{ ilE2�r�.f:'_.�..f t?�� ';;':�L":"•_ p.°tPil�liTCN, i'_iD,'.i�:l_ _. _ .:�7 .._ . '1'HIS IS TO CERTTFI', ¢h-t r,a� •.co;,3s :;i:o',z_.,=:r :� ? __� c::; � :i_u. � i�ii;,.^.:'' _"--------:uet' 4�28/15��_-_-at'--yc:Ur�., �— -- U1D. �c ::i{OST�. Yi1�.f;CE3'�Ot:i".T;�L7.. i f�— �-_..s-_'----�_."__...' month ds; �,�ar ';nar.:i�.,,. � :t-=`i��.t,p:+_i:.:�:r;1.'�::i: : • �: Age at Death �� —_-�r-,c—�= _--- - � vi07'--rl u:3a�. _s'1 -'.8 �"` - -----'--�'—{. 13Z';. 12[i }•n^.:� � - _ ':�^�.I' < ;i.^ w;ie'her masried or xin�,Y . �.{ - �' 1 • • ^1 illlR'dT}� CSliS� OL "ii,�lEh �iVt•II t .'.�_ _ _�f � ,�r l � a" _ . . _. , ___._" ^__..__—�."—_�_'_ °� � — Signed by-------- ` _ '.. . .' . --- : Ft�y_. ,::r, �:, . . . , - .. .��:?i�'. Place of buriai u� removai___—_.—__— r,vne ot cemetrp• r i. i�. __ rr�r�:et:,-�,.'I�d�_ - a::i:: >: i'�i:�cc `or•, I�i�: add�esa-� —_-_._—. Date.of burial �/�/Fio — -- t-:oi_, L�t ` : ='_�.T.FILitic=�t0r., �;,I; ---- � :lm=:al 7i:eccor � afitires3� ^. �. �� .-.: r; . .. t �.1, :, . �..�-��;,, f��f�: � .:�.-��, �.� . ;._� �_ SEAL - ' ' �' ,.; . .. . j:i 1�2Ci_ ' :y.��.. _..:_.�.___. � ' �Gib,roti.Ceiun!y 3eaka�- C7art5i:icsi�ea: --'�"ti�"'�',.:1.-i�]�sl_i!—a__�4'..vr: _.:..__....i.�?�,•_�� _ s: � �GiC.' : .. � r . 44`.i 7 �k Recorded loca!ty ;r: b-,ek N�.------- - �'src i�n_,_-1 ' ..: i?t+�'�-- - �� '_ _____ t:' G. _ ...-;o 1rE': �il?"g1'llu �O ��• r. — -------.-�' ___' _ '