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FOR
INSMUCTIONS
1 IMR DECEDENT ED E
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DEPARTMENT OF HEALTH
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
DUE TO (OR AS A CONSEQUENCE OF):
LAST
Mecca
tat ETRE
811 Top
SS DA :RE
April 12, 2001
34. HOUR OF DEATH
se. PRONOUNCED DEAD (Now)
7hle IE a true and exact ?production of the document on file in the office of Vital
Records:Services Chey�3;it oming
DATE ISSUED: Lucinda McCatfr y
beputy State Registrar
This copy's not valid unless prepared on paper with an engraved border displaying the date, seal and signature of the Deputy State Registrar.