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HomeMy WebLinkAbout1849 ; ~ ~ 'f THE HEALTH ANa HOSPITAL CORPORATION OF MARION COUNTY ~ . y DIVISION OF PUBUC HE~+ILTH s~ FEE ON6 OOLLAR ~ 1841 CITY-COUNTY BUILOIPiG - INDIANAPOLIS. lND. Kur~~ ?MOTOSTwts ~ot ~ ~'~~1V CERTIFIED COPY OF RECORD OF CEATH O!r s ~ ~C~t~ M• Vitl~ilitQ __eATt OI? DS/1TU '-u`~i~l'+ NANL 0/ O[CEAYELI ~ MnRtot~ ~it,r. T01NN. OR LOCATItN~+ I~~napbi~,ss In03ana v~.wcs ort oc~~+. couwT,r . - v wKi • n. r we~ w w~oow~ O ~vsw N~uut. D 'r~..J89l1 'j,~ ~ "0~~) ~?n ~ wr. t~. ~3~ SEX. ~1e ,MwRRitO ~ WYOnCtO ~AT[ OI ~IRTFI v? Milli~~ VaQ ~Qare a~OTHEII'S MMpEN NAM Vi~ Biacketet ~ ' FATHLR'f NAME INt[RW?~ ~fMRiM - Y,~3 GAUi[ OF OEATM O IE COE 1 Zt Cereb:sl 'Tbrowbosia PART 1. IMNEC~ATE CAUi[ fA) _ cc~u c~ac~c - ~~M~r~•. cu~ To ~s, Generalised Artesioscieroai~t R~L01la1ItM i 3-S ea wMICN SIYt 111t[ TO "~M~~ . : •~ovt uvu ~w) ~,.~I I ~/1~I ~ ~ ~1 ~ f \ - srwnrN T?~s vNWA• , ` ~r,Ma uuss ~w~t. DU[ TO tG) :'~:3 OTMt~ S~ONI/ICANT COMO1f10Nf CONTAIiYTtNi TO OiAY11 ~YT N01 AtIATlD TO M[ 7f~MINAI OM«K QOMOfT1ON Mr[M iM IAR~ ~(A1 - - - PA11T 1 - t7AT[ OF ~URIA~ 7~23~1~1 CEMiTiR1~"'~r~i ~st LKrt10F' I~~~~i~a~- j~s~ ~ . ~ , `vo~'~u,°o ~'o~ Albert L. Bialte. M.D. - ~ f -pEATM C[itTl/1[O ~Y t 7-Z3-1991 NOT VAUD UNLESS MACHl1~ t~iUlAABERED , ; DAT['ILEs - . AND ~(3~D WITH MULTKOLOR RId80N T-Z~-19T1 ~ - - - . . - - o~rt issu[[r -t . . ~~`"~'~r~ ~k1~~2 : i ~ \ ~ = B. Pasdtk ~~.s~eK . ~4 ~ ~ _ ~ ; ~~w?~w j , ' -a i ~y~ ~ I~~ ~ = i' .17 ~ ` ~a.~~ ' . ~ . 3~ ~ r~~' . _ ~,~~-~..~1 _ ~w~~~ ~44!(1~fJ tAif 18 . . ~ ~ _ . . _ . • ' , . . . . ! ' - :