Certificate of Death*Scott County
"aa'1 Amended: 12-15-99
8 _ llgrtician statement
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CERTIFICATE OF DEATH
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CORONER
_ Carmol be I>+1
Female November 22, 1999
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March 28, 1907
92
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CORONER
_ Carmol be I>+1
STATE OF MINNESOTA
COUNTY OF SCOTT
CERTIFIED TO BF. •, TRUE AND CORRECT COPY OF THE ORIGINAL, ON FILE
OR OF RECORD IN MY OFFICE.
REGISTRAR OF TITLES.
PAT BOECKMAN, COUNTY RECORDER AND
DATE DEC 17 199
BY QC.__ „a __1, )
DEPUTY