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Death Certificate - Brooks, M. Roberta_9/30/1982� ____ - -,T�,-� --.- - _ _�. � �j � � ' -- � � ��; � .F�: . .. i. _ ,,; LOC:11. KECUKU OF' llF.ATH .,'. M1tORGAN COUNTY UEPART111F.YT OF HF,ALTfI ., � I Ptartinsyille� Indiana I • . __ _. � AAdrr�s �_Tin� IS'f0 Ch:HTiFY. that our rccords show ._......k1....Nqb.ei'ta...Br.00ks ..........................:..................._........... �{ied � ..Octoi:c.r.......... ._...1 :.......... ..1°,i7.%.__. at ..R..R,8.�. Foxcliff_..Fstates �Residence) _ .............._....... - -.........._._......_.. . \I.�mh Day Year Slreel, Huspital or Rural ,��e ai Je:,ih ._.57......... Sex £emale._ Color ..._...White....�.`!�'......�I'rled ... ....................._........................................ ��z�� „R..q' ` Wrlte K'hether MeMed or SlnQle }' . . . � v+ ._. Ceuse of dealh given was ....FnP.AClOriltl&:e....._.........:_.:.........� .............................._...._............._.................:...:........:.:......:. • -c � � • ._ . . . _ . - ' Fur_fu^. , 4 ^` �� ; _"' J ' . . . ............ .........................._..... t.c:_ F:......._...... �...;...r.....'__"".........................................._............' _".._.......__.. : . , z :._� � , v� _ • Siun��d b�� ..6.lbez't,.,1w;.�?iake.�.,M..._D,.�5�0$..E....16th�^St...s_ Indianapolis.�._Indiann ; Yhyslclan ur Comncr q �• � h {„' �S , Y''�1 Addresa ' �V�.' �� . —.1'. � !'lai•e o( burial�or remo��ai .....-_Nashington..Paik..�st.,.�?_':c.....indianapolis.�..indi?na ....................._.: _ Yame oLCemecery � ' . Adtlress .. -., .. . � �:. n,i� �t i��r�ai . 1�/5/7? r...Shirley_Brns....Co,inc...946..N....Illinois�..�.t....i.ndi.a.�apo�iS.1�,... " � . _- Funrral Directur ! � AAOrcas Indiarta � . � r _ � . _ _"_y" ' SF.AL , �;� Signe�;:l._lrv✓.Vr......*::. .� '....._ -.cY . . ''_��,a2.....I szL� I � =� ...' Nartinsville�...I�ia�. � /�/7�.._ . ' �� . Address Date \� \ ,` � ; . : - . � . . RcrnrdeJ loeally in bnok No. .....12... Page No. __40.... � L a t' .