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Death Certificate - Racine, Ernest B_6/13/2016
' ; 24:Informanfs Name•••-,,•-:-c ,, '-' • • 24a Relatonstup To Decedent ' 4:.t. 24b.MaEng Address,(Sueet Ar_V.Number,City.pate,Zip Code) , •25a Method Of Discisjpon, .:, : - , . ,, 250.Place 01 thsposiaon(Name Of Cemetery.Crematory:Other Place)t. 25c..,Ler.abcn-Sey,Tam:pa.,Sta:e , ' ' ' 7'• ::::',(z ".:j f25 Part(Ante. . in vent .--.: ' es,"Ortoinplications-That DirecUy Ca',3,:ea The NA.-Do Not Enter,Terrninal Events,1/...-;'' :: ' " lnteiat,Oniet.-•' >) ' "id ' 'il •A'OC:',4111 r..?-i,iiipcz.,,, ..---,,kii,fr,,,,,..,,.L. ..........,,,,.... ,. -z..iiii,......-1 „„...-..5 ,-. iit„-:A p..,:f.3,..,.....z......:._,-- i - 1. • . .„.., „....-. 1, ..., ....... .., ..._.t..._....--,.....--clin, .4 Rs .....!ib. .1N,,....-,5 ...... 1'.7' ..,,If.'n: .4 . "...-ITn.. ...1 N.- ......! :-._ ...1 ;.... ,..--: .....: (.; • 1;;Etale,LontI,L5329,,s4,51TEtt.TION ESTATE -1111i Sita--'I Ser.:is:91f fl,.ii tzeInglecluee...t bjr threstate:eitiEtirThrbrder.to p.„trwsue r!"-pzisitigtjelpisclosurei,QoluniMryZnd there vial b9 no perolty,tornatialt.pW,I.111 -..: —i TURNS 'OM ORMIGETO YE • WHEN RUB; D:ORIGI •''''e• MENT HIDDEN a ID•N FRONT-THAT PPEARS WH... PH.T e:COPIEDTri!..."11:1"?.?".TTI. ,. :