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<br /> PUBLIC HEALTH SERVICES
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<br /> 09/20/2003 East Union Cemetery 1035 N. Union Road, Manteca, CA 95336
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<br /> 12 18 1995 11 08 2002 RAhul Pac tel MD 1779 W. Yousulte Aveau /103, Manteca, CA 95337
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<br /> CERTIFIED COPY OF VITAL RECORDS * 000327S33 * Z�
<br /> ate_
<br /> STATE OF CALIFORNIA " .. -
<br /> COUNTY OF SAN JOAQUIN} _
<br /> •rr.,,•.,' 4y Ths is a true and exact reproduction of the document officially registered and i O;•••
<br /> r;• ` h placed on tele with San Joaquin County Pudic Health Services KAREN PJRST,AID,MPH ? Ae1•'-
<br /> LOCAL REGISTRAR
<br /> DATE ISSUED
<br /> J#. 'nts copy not valid urNess prepared on engraved bonder displaying dale and signature of Registrar. -
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<br /> Description: San Joaquin,CA DocJffient-Yoar.DocZD 2004.40415 Page: 8 of
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