Hannum, Robert Henry
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CERTIFICATE OF DEATH
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CERTlrICATION-MEOlCAL UA.MIN[f O. COIlONU, ()ol ,.., ....,. "" "'"
f.AM......J~ O. Tl<tf 1001' AHOla. "'" ."''f'Ul'tG...1'tON .'" MY 0"""0.-
OU,'" OCCUHtO ON Nt DAf( ANO OUl m rloft CAUUiS. IUTUI. .
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11\ Porest Lawn Ocala, Florida
~UNf.41. HOME N4Mf~NO AOORfSS t $flff1 01 "D. NO.. CIN oe: lOW"'. ""'.. 1t1 I
;J1ornton 1033 So. Florida Ave. Lakeland, Fla.
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I hereby certify the above to be a true and correct copy of the Local Registrar's record-
on file in the office of the DIVISION OF VITAL STATISTICS, at the POLK COUNTY HEALTH
DEPARTMENT, WINTER HAVEN, FLORIDA.
MAY 0 2 1919
DATE ISSUED
WARNING:
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County Health Officer ~d Local
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Registrar
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CHIEF DEPUTY REGISTRAR
NOT VALID UNLESS RAISED SEAL OF THE DIVISION OF VITAL STATISTICS, POLK
COUNTY HEALTH DEPARTMENT IS AFFIXED.