HomeMy WebLinkAbout03-21-11 (2) 905 REV.(I/l1)
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with
the Vital_~atistics Law of 1953, as amended.
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LL;''- c'~~ ~ ~VI/ARNING: It is illegal to duplicate this copy by photostat or photograph.
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~' : '" ~ :~ Marina O'Reilly Matthew
LL ~ i. -_ ~ U Acting State Registrar
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6080036
No.
MAR 0 7 2011
Date
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CERTIFICATE OF DEATH
003858
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Gayle Harlin Kluz E'emale d ~ a ~ ~'~
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