Rousseau, Catherine Rebekah
.,
'd:'".:.
. .:"::;::>~m I~;, Other S~jCan1_condjt~:C~nt'ib~i~g ~ ,~ealh ~u.', ~:~~9-,~~)he..:
: .::.; ,:;\:der_IYlng, :;~:~se, :;.7:~n :G,ra;;.:';:;.li;:_~,:'a 'f:'t - f::~' f.:i.- 4,:~ e~:j
~enalfailure ' ,
-:.29. IF FEMALE. WAS THERE.A
PREGNANCY IN THE PAST
3 MONTHS? 0 YES XNO
)t. PROBABLE MANNER OF
DEATH RELATED TO
CONDITIONS:IN :~AAT:J
.::::- ABOvE (Speclty);:::NaluraJ;"'
. aoddenl;' :sulctde, -homicide.
Of' Undelermined.
Natl1ralii
..t .z~.J..~.~;~T:FJr/DCORRE~ THE OFFICIAL RECORD O.N FILE IN THIS OFFICE
~t~~))I~-. ISSUED: Apnl 26, 1994
Chie~ED'eputy Registrar I Pinellascount:Y State Registrar
I
ANY REPRODUCTION OF THIS DOCUMENT IS PROHIBITED BY LAW. DO NOT ACCEPT
UNLESS ON SECURITY PAPER WITH~INES AND SECURITY WATERMARK ON BACK
AND COLORED BACKGROUND AND GOLD EMBOSSED GREAT SEAL OF THE STATE OF
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r HAS FORM 1564A (6-93)