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HomeMy WebLinkAbout1691 242'742 ~ ~ ~ ~ CLAY COUNTY HEALTH DEPARTMENT z:~ BRAZIL, INDlANA ti 'rn aa «~~o "~~>-.,-n ' ` v__ ~'r•^•z W q~.~_nciV CERTIFICATE OF DEATH ~ ~`°z~ ~ AA"~O ~ K A ~ ~ yrf~1 ~ "'1 >O ~ c"~l~is (~rrtifies the official records of this departanent show the following: v ~ ' .~ame---------------Helen_ Stewart--------------------------------------ASe-----~--------~----Female------- Marriea pp smgie p . Wido~aved ? Divoroed Q ~ Brazi~, Indiana ; Place of death___.___Clay__County__Hospi tal_______._ March 21, 1972 --•-------Date of death----------------•------------------------------•--------------------- ~ ~ ~ Cause of death------------------------------Mul_tiple_.My_eloma------------------------------------------------------------------------•-------------__...----- ~ ; - Sigr?ed by------------Curt__Oehl er,_M~- Q=----• ---------------Date of buriaL-----------March-- 24'--1972_--•--------------------•--- (Physi~lan. Funeral Hom~.____ Mi 11 er & Sons Brazi 1, Indi ana -------------Address----------------------------------------•----------------...--------------------- ! Name of Cemetery.---------~otta9e_ Hi 11---------------------------Addreas------------Brd2i 1'-- Indiana , . '.-.1. ~ f. 7~ . ` Date iasn 'M' ,,h 27 , 1972 11 18 , ~~•;Y~ ~ -----Recorded Book No-----------•-----------------Page----------------------.._ . ! `~ti~1:'''.t . ~O;' ~ ` / ~ l ~~f ! - << " - +~'j • c+~ , ~ ~-~-'j. ~ ` . ^l~talY:`. f. s~pned"~' """s,e~~L.t~_ ',"'.."":1 - :~t,~'~•• . ?,s'~l• - . M<ALTM OFfiCQR - ^ `~wr - ~ -,i eR~u;Qi~r~ota ~3 . ' ' + ' ~~"'3'~'';.~.~ 0 R ~ e~t;~=~ ~ ~ sDOM PAi:E~~ ~ _ > l.rn...-.. . . ' F s~5 w. ~~`~y~~~~'kh.~-`- ! " ~~,4~~~'~ . ~ "r"'t ``~~°"`~"~'"'T'' r~ -s., -i ~.r,, s~,. . a.. ~~,~...'~.:o - " ~%',F~ . . - ' -