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INDIANA-STATE .BOARD OF HEALTH
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MEDICAL CERTIFICATE OF DEATH No .
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Trans ortation
303-OS-4266 ly Supervisor P
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~E DfCEnSEO As..+crrs-i?ATE OOUMtY C11Y. TOWM OR EOtAT10N ~ _ -
~AT~ Indiana oli s
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'ARE"TS Jessie M. Butcher Almira Bast -
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Mrs. Mary Lee Butcher Iw 5853 Rosalyn Indianapolis India na
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. Burial. Oaklawn Memorial Gardens Inc~ianapof~s'Indiana
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SPOS'TION
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11-19-1979 Planner & Duchanan In~ianapo"f°is'~n~'ia'~a
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