Death Certificate - Bailey, Osie Fern_5/8/1978!
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IOCAL CERTIFIED CITY-COUNTY DEPARYMENT OF HEALTH
RECORD OF DEATH c�ry of EvanYVille—Vanderburah Counq �,Tp - ',Z�B
Evnu�ville, Indiaria . 1V e '
OSIE FERN BAILEY
This is to Certify, that our records show_'-------------------------------------------------------- died
APRIL 14 1578 12:15 A.M Welborn Baptist
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montL day Year hour ot dentL Rrcet hapiql ar renl
68 Fe Wh Married
Ageat death-------- Sex-------- Color--------------------------------------------------------'
y�ti write wbe[her m�rried or �in¢le
4 Severe occlusive coronary artery atheroscleros
Primary cause o. death given was--=------------------------------------------
---------------- w ith_ mi ld _ca rd iomega ly-------------------------------------------
Sinedb F.J. Brakel City
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D6n�eien ppEdfd$3C
Mont omer Oakland City, Ind.
Place of burial oc removal----------- g--- y---------------- ---------------wa.m ---------------
, n.me ur ew�te.s
4-16-78 Corn Oakland City, Ind. ,
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'�� Date of urial - -------------��
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Fu 1 DiraWr
' Signed ��_�-------�5-�---1'�_Registrar.
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Evans ' e, Indiana
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! NOTE: Recorded locally in Book No. -------------- Page No. --------------. FEE $2.00
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