HomeMy WebLinkAbout10-24-07
H105.905MS REV. 6/06
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
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WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
Date
Frank Yeropoli
State Registrar
0948474
OCT 11 2006
No.
Hl05.143 REV. 0212006
TYPE I PRtIT IN
1'ERMANS<!
BlACK IHI<
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Kenneth G. Weller,
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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STATE FIlE NUIlEER
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September 13, 2006
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Registered Nurse Health Care
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23]5 Middleton St.
. Brooksville, FL 34601
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Kenneth G. Weller
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David E. Weller
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