Death Certificate - Smith, Jasmine_10/26/1995�'`���'�f" STATE OF ARIZONA
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CERTIFICATE OF DEATH - ..
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JAS:fiN E. SMITH z FEMALE
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CERTIFIED COP-Y-OF VITAL RECORDS _. -
STATE OF ARIZONA �
COUNTYOFPI\1A } s� DATEISSUEDApril 5, 1995
TiYS is a We and e*act reproCUCtion oi Ne Eocument oHiciaYy repis�erad anC to be ���/ q�W.J
paceC on fda in ihe VITFL RECAF0.5 SEGTION, DEPAHTMENT OF HELLTM SEflVICES, - -- /� O� �7
PHOENIX,ARIZONAissueOunEert�eeul�onryolA.R5.36-341.anEbyE'vectionof: AUDREYORIISq,M.D.
Counry Requhar
Rme Counry NeaIN Deparbnent
This cop>' not nlid unless Oreparcd an engared border OisO�a)'ing county seal in color and imprtssed with nised seal of¢suing ageop'.
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