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Death Certificate - Alpine, Russell L_10/2/1997ISSUED BY MARION COUNTY HEALTH DEPARTMENT .d�' DOrj ( Q -ElITION E3TATE: The Sadal Securily 1 h . ' _ ' ' . �: - .: . : �- w � ' ' = - � - � /yr�� ''1 requesled Cy Ihie steta a e N wder to �- -�3 �-� ^I�CJ`�".°�_ 9 i� S�,c�,on �a5va��wiPY"`�xw5�,a i, INDIANA ATE DEPARTMENT OF HEALTH `= j�4. -1 �''�__ _3a_/=_o(,_o __- ': =-- �ary and Ihere will 6e no penalty lor r lusal. . _. _ .. . . . _. _ . . . . . .. . _. . ' " ' ' '_' " - "' " �I No....:....�.i�4.�.t�.. .....:.. ERTIFICATE OF DEATH State No: ....:....`...-..:.��.��DOS( ` � T11EqEGWiOSWTH195E(IESAREGOHFIOEN ERICt&1.19J . ' ' ' "_ " _" ' ' _ '. __. JPRINT ' oEU'`seo-.�.ut a..�uea.i.a � _ x. srx k iWfOFp[AiM .n o�� orot�rw w„� _ ... _ _ IN ' RuaaeC£ L. 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