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<br /> - Gemete[y,�Crematory,or S{�cify C}theP City,Town,or State
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<br /> � IMMEDIATE CAUSE OF D�TH A�ut�Can estive H�art Failure ,
<br /> DUE TO(Consequence ofi� Ischemi� Cardiomyopath�
<br /> � DATE RECEIVED BY REGISTRAR 5-22-1991 "X"indicates not shown on record �
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<br /> NOTATIONS _
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<br /> This is to certify that this is a true and correct reproduction of the original record as recorded
<br /> �����`U��"`�`��i, in this office,is,,Sl,led under authority of Chapter 1 a4,Code of lowa. �,��"�"�"'»"ti�a,� �
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<br /> �� � �' '� DATE ISSUED COUNTY RE�PISTRAR OF VITA RE � COUNTY � p; IOWA ; • ;;�
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<br /> , a� FoaMasea-os2ec��sss� WARNING: IT IS ILLEGAL TO DUPLICATE THIS COPY �y; 9r ~
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<br /> The southerly sixty-eight ( 68) feet of Lot Five (5) in
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