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Death Certificate - Aydelott, Robert J_10/5/2012Dubois County Health Department
1187 South St. Charies Street
Jasper, Indiana 47546
CERTIFICATE OF DE/�TFi
This Certifies, tnat according to the records of Dubois County Heaith Department
Name ROBERT J. AYDELOTT
DQ.te OjDeath November 18, 2010
Sex MALE �` �
Marit¢L Siatus MARRIED
Age 85
Time OjDeath 2:37 PM
Name Of Spouse EVA P. AYDELOTT (JOHNSON)
Cause O( Death
MYOCARDIAL INFARCTION
RENAL FAILURE
Date O(Disposition November 22, 2010
P1ace of Death MEMORIAL HOSP. 8 HEALTH CARE C7R. Certifier �OSHUA LEONARD, M.D.
JASPER INDIANA JASPER INDIANA
Funeral Home �+MB-BASHAM MEM. CHAPEL Place O/Disposittion SPURGEON CEMETERY
OAKLAND CITY INDIANA 47660 SPURGEON INDIANA
Loca1 Arumber 000373
Issue Date December 01, 2010
Not Valid Unless Signed And Sealed
Book Num6er 24C
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Du6ois County Heaith Officer _ : j
+1`-�' -
