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HENRY COUNTY BOARD OF HEALTH ~
~ NEW CASTIE. INCIANA *
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CERTIFICATE OF DEATH `
V' ~ t~ ~I P x# t f~ P~~ that oaording to the records of the Henry Covnt~? Heolth Department
Name of deceased Orville N. Melbourne
~oro of death ~~1y 22, 1975 at 121 S. McCullum St. ~Kniaht~ stnwn~ ind_ ~
(Nlontl~) (Oay) (Y~o.) lShNt Nwphoi or Rvro4
SEX COLOR OR RACE MARRIED NEVER MARRI~ AGE If Und~? 1 Yw~ If Uod~~ Z! Houn
~1° Y~On~ MONTHS DAYS HRS. " MIN.
WIDOWEO DIVORCED tSpec~h)
Male l White 61 ~
Primary cause of death given was Carcinama, Liver Metastic
Certified ~ Cloyd Dye, M.D. Ne~r CAstle, Indiana
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Pia~a=o~~~i;yt;o~~~a,c;~n,ta~ Odd Fellows Cemeterv ~arlisle, Indiana
: ti-. _ ~ ' ~ ` % ~ cc«e«..p) u?dd~...) -
Dafe`~f:~;o#~:~.~~::: Funer,ai director ~utcher Funeral Hame, Kn;~tSttlMm In~iana
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R'~d'.w~ 1975 Book No. I I Page No. - 48
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