HomeMy WebLinkAbout05-01-09
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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~ Fee for this certificate, 56.00
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Certification Number
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PEPMANEM
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'this is to arrtily~ that ^he information here rrivcn is
correctly copied Irom an original Ccrti fitate nl Gcath
duly tiled with me as I~lcal Rceistrar. "1'he l,ririnal
certificate will he forwarded to the Stale Vital
r~,hh'R~~ecords Of(icc for permanent filiH,.
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Local Re,?iau ~r Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
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