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Death Certificate - Beckner, James Harlan_7/14/1981I :� i i � i i I ( t F' { ' I 1� � ! . I _ �"�YP7-; `�s..ts�zL"°..4�JDOI37034Je'""� .�c',..,a+r y,'�b,-..r.'u^'•.�i75CS.".33tiII.'�.`+�..l� r' � v ����. . :_ , . � / � . �:��-.z2c: 3�.._.:i::,c?I; �,�T:{�.�is��'oYC'.xs::s�:�'�,�- � �OCAL .tERT:f1ED • ' CITY-COUi�71; �d?,�ii'i 4k�i;Y �� i�G'�t7� W aFC���D QF D�ATH ...:i' c��y af F.�amvill<— Y�nd::bur,r,h Ccvnry � : . . . � • 6�m�rille. fndi�ua �i � ?@!� � �; � ,� ,I; . JAMES HARLAN. BECi�7ER :• ., ' `. �, This u to Certify, that our reeorde,ahow: ___ '�____,_ '� .- ... . =------------------------ ��--.__ U.ca . ------------ �� � ._. � �: .. r1P�IL ---- . ------ ��--=-19Z�------at4 _00 A.M _De,��ones i , mer.th dq. . _""_' '�'_"_"""_ ' � ►sv� d J�tl � ""_"""'""'.. � ' ' . �trwt, \a�DIW r, nral `� -.4vc:t dntA---S9-- $ex.M�10 _ Color�--------- 'V:3rTlEd ��� . . �wn - • . . """"'_"'_"'""""""....___�_ ? • • -' ' . .rlo �.6et►a surrke .w :crtk� """"" ""_ ' ' � Pulmonary "embolus �' P:im�ry cawt of death given w¢�-_----- •'� s .. ' , ; ; ; --------------------------- ----------°•'-----•----------- .. . .� � � " 1 �, ,. ;, . . .. �. • i -�------- ' . . � -----------------------==-' . ' ' � ------, ---------------- � c., . . . „ ----------------------�----------�. , tp`p S;r�e+. by :�__�'t _G. Soahn'-------------�---- � ,�-� � . ...Lr.V�.n.p�^,9[ . . . • -'-'_'------- --'-----_'-'--....ea ."'-""-....'-' , . ..', � City _� , :,:•3ec;cer' . r:a^' �: b�risl ar rer�oval__ ' • :�..'1L�JKd � s-_ . '• , i! ,� . ' ' ---°-'----------- ' _.:d . - ----- �::: e,,..or»�,�----�-°---^--- ----------------=--._._.�_•-'--- , . ... . : : �es<-s � . - :: .. .. � � �4=13-77 Kendali 2rinceton,Ina. j llatr oF burial'---_------- ' ,, "" -'- V `.'��'�' • t. � • - ----°---_.�-------- '-- • ---`--- � . . . ._ ------ ' - - -"-- - - � 1aewJ Dta�ae- , . _ ,. C F' ' n . .:r..:r' - .,; ,'. .$igncd _""""'__ � • �1.0. . .- '::�,�!'-;�' • b. . ---------:,-�--------------- --- -x�eu�..�. . , •:. ;. • `•,: �; � ----- . . : : • 4_Z�_.7:7 .. .Cvansville, Irtdiarta:� :';' .� . . •. .; ",:`' ------------ _ � •� � ��ti.;�i ., � ---------- � g . �- . . '.g : 42 �... t... - - , ' ;;:. , � ' P'O'CE: Raorded I«�Ily m Book No. -----_:- 74' r - '- • . • • • �• . . ; Pe�e No. --^ . ,., . • .. :I� "_"' • e-f�i� 1 !� � - ib F�C�ertwaww..e.�.�. _ . ""_;^' "_"' �.! •''.�LG 4l.lJiJ - 9C`H �e�w�w _- _ - • . •• � RE��CIR�ED THIS �DAY OF 7'� : -� , ' ° ,• - ' " :� c� , �l,ac� � —' �s_ A z�-�• ��,M,; � � r . ��` �1) RECORDER CIRSON COU?ITY, IND[ANA i � . — -•----=�-- -°- ......._ .. ' _ . . . . : .- .. . ..R "' __ (� �... 1' .' .r Ika: {�.. y:� �i••T� /•'v . . 1., t�} .f ;: J: . . ,� � ti ... - : '. � - • - 0 �'� i i i ___ _. ..-.— .. . .� � .'1 ' � • � • . . .1 I � . . � � • • I