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HomeMy WebLinkAbout0018 3~6146 / . `t , a~~-ii-~o~ THE H6ALTH AND HOSPITAL CORPOWhTION OF MARION COUNTY DIVISI4N OF PUBLIC HEALTH FEE ~rw0 ooLIARS 1841 CITY-COUNTY !l~JILCINO - IN~IANArOL13. IN~. MUMKA rNOTOiTATi wwoc CERTii=IE~ COrlf OR RECORD Olr DEATH OF p ~ Cla~ude -l~irgil Neidigh ~~Tt OF O[ATM $epten~ber 13, 1973 w?w~ or oecuse PLAC! OF OtATN, courm MARION ciTr. TOWN. OR LOGATION Indianapolis ~ Indiana a~ws ~ r~. M 11Mf! ~H. ~Sa1E W1O~~ O~vsa wnie~. O S~Z-1894 79 ( owr~ Niea. I r~w. 4r~t i411J11ntO ~ 01VOwCfD []DAT[ OF OIRTI~ ~GE ,1 FATHER'~ NAMt~~y ~ldi~l wOTH[R'~ MAIDEN NAM Florence W~e ~ IN7iRVAL ~[TW[[N CAUS[ OR DEATH o t ~NO TM PART 1. IMMEDIATE CAUbE ~A) KCSp1rStOrjl AI=CSt CoNOnfoN~. wNY DU[ TO ~B~ Uremia ~ vn+icN o~vs a~u To n~ovc uuu tw~ ~rwnwa na uNOOe. - ~r~M~ CAVK usT. DUE TO (C) orHa~ ~~sw~nc~~rt cowanoNS co~re~~unNa to ouTM w~ Nor er.~wrcn ro n~i rs~riN~~ asws coNanoM oiv~w ~N ~wwr ~ Heart disease i PART 11 - ~ o~TC oF suntw9 16-1973 GEM[TERY ~ast Hill ~~T~o~~ I~br~antown, Itldiana ~ ccirr. ho. ort /15740 Alan D. Stet~art, I~LD ~ V04 AND PAG~ -DEATH CERTirI[D OY I t DAT[ RILED Septewbcr 17, 1973 ~,~pT YALlD UNIFSS MACHtNE NUMBERfD ~ Navember 17, 1977 AND SfGNED WITH MULT{COIOR R1680N o~n ~ssuE~ - - - ' - ~ Hu~scnco S. Gordon ; . _ . . '~~~d Cl[I~K - ~~MM~ - _ ~ ' ~ _ • ~ ~ ~ - ` ~-.---r; t eul V t + ~ ~ = ~ ~ '~i~ ` ~ ~ / / a~' ^ ~ 's ~ ~ \ \ ~ i , . - ~ f - . . • D . 4'~\`~~~ suwetew o? v; tTrf- ` ~ tia,,• - ~ e.'~" - ~ ~ n ~ fILEO AMD RECORDEO a ST. WCIE COUNTY flA. ~ itOCER POITRAS ~ r,LfRK C~~CW7 COURT~ ~ . • , ~ V ~ R f f 1E ~ ~ ~ ~ Zo aH~~~ ~ uE~ i o ~ ~ ~ 386146 ~ ~ - - ~ ~ ~7 ~ - ; ~ _