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HomeMy WebLinkAbout1617 i ~ ~ _ ~ - _ ~ _ ~~~a~s ~ _ ~ ~~~'~R ~t~er#if~e~l ~t ~r~r ~erur~ o - - ~ ~K ~~~.f u~fi a~u~ ~ ~ N- _ 5 6 6 9 RE~~D YER _ ~EQ~.~..•"'DEIJ~W~BE COT~1iY DEPABTD~El1? OF H'FJ~I.?H ~M O~ " ~REAU OF VITAL STATI8TIC8 ~ DffiJ[WJLtB COD~!! fUO.DI/C ~~~~3U6 MoxcaE. n~nixxa ~~t$ f p ~pl"f t~ that our records show ~HBT]C9 E._ $fmID011B died f March 10,~.1~.~,~......._____....... ac ._._.._2 ~4.~...~.~....-------___~~,l..MemQri81._~oagi.tal eour o[ d.ath m«t. bospltal or nmm~ mopth du1 1~ Age at decith 74'......~. Sez _.._..Metle....--- Color..._. ~~t.~........_.. " 83~.s$ T~ ~ Primary oause of death given was ChrOlliC ~~@1Qn~~~.18 , b T.B. Hs~yes ~ M.D. Muncie,,.. Indiana Siyned y----•-------- -~------~ech Grove Cemete~._...~.~ IKuncie Indiana:_.-----_....... Place of burtal or reirwval. _.......~.---..-----•._.._._.._....~..~..._.w_...W..~~ _ 1;~19?3 Meeks Mortuar~r._ Muncie~,_ Indian~ Oate of buric~'~ ~ • . . `~~~~rnm . , 'p~n.ral ~ ~ 0 L' t rTo. - a? . ~ • i~ ~ ` ~i f-••~; ~ ~$~C~y' ~ 'L~ ~L~' " . ~Zs ; . ; 1~.~ r.~ Munc , Ina. ~ Ma~c. 12, 19?3 . , ~ n:~.~ 1tiJ~~j'r .•4.-..~~ s. ~ . dOM"" ~ • wY°• e • ti~ i'~~~: ' ~ O . .~c~ . ~ . : .<< ~ ~ r , ..s. ..,u a.....ni. u...~... ~ ~ ~ ef - 5 - - z.~ - _ . ~ - ~;r..