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1771
~f 2216'73 ' ?A . . t~ _ J • . DEPARTME?~T OF PL'BI.IC HEALTH FORT WAY:~E, INDIANA 4~~02 CERTIFICATE OF DEATH THIS CF.RTIFIES, thnt nccording tQ the records o/ this Departme.nt PAUl 3 . Ha~nl in ~ ;\'A:tilE March 28. 1971 Age diPd in FORT WAYi~'E. 1rYD/A1V.9, on .?2.......... Cause o/ death: __P!?eu°!°niaf___Severe_.Head._In~ury= Cerebral__Contusion~_.Auto.Accident.114,[71 J Farquhar------------------------•---Place o burial Etna. Green?.._7r?.d........----•....._..... ~ .9r~ending pl+YSician / ~ Deaton ~neral Hame ~ Regutered ~V - _....--•----••----------•-•Funeral director - -----9--------------- ~ ~(I''` _ ~ xay 5. _ 197i ~ . ~'7 r_.,..------•-•----'•' JSSUeI~ . . Nea1t&: Commi,t;~io~ter---Registrar , . I~~y _ ' ~ - G~J. ~ r_~ Registr r ital Statistics i . 1.• . . . 3 . . SEd~,. , ~ - i ; , ~ e ~ 3 t e ~ S ~ fiti~ `~~~Q ~i ~~i` %LR. r :ROC~R ?~ITiiAS ~ C~fRK CI.•~:il~ COURT'y~.~ ..t.4i./~~~w~~ r i('i~iS'iG~ 'r`.L,; ,1 L 2 ~ ~r l ~ ~ 1W'71 ~ ~ ~ 2216'73 ~ ~ ~z ~ ~ 2~ ~ a 1 :h ~ Yij ~~s ~i98 ~~769 a ~F2 i~ I C~i n.3 f3 ~ • _