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DEATH CERTIFICATE <br /> To: Director of Finance, County of Hawai'i. <br /> Hilo, Hawai'i. <br /> This is to certify that <br /> who is my died <br /> The purpose of this certificate is for the right of survivorship of a certain <br /> vehicle under our joint ownership, to-wit: <br /> bearing <br /> (year, make) <br /> license plate number: <br /> Dated at Hawai'i, this <br /> day of <br /> (signature) <br /> Hawai'i County is an Equal Opportunity Provider and Employer <br />