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Death Certificate - Barnes, Charles_7/28/1980
,_""' ..-..-_....�.� . '__". _ ._ _ . . .....i�. ... • �rr"'. . .. . . ._ . _ i: . . �- �� . '. . � i ' CERTIF[CATE OF DEATTI , � ' • j •' DEP:IRT,ISF.\T OF IiF �I.TiI ,` ��; CIRT OF VL'VCR\'N�:S OR COUIVTY OF KNOX Certified ReCO['d �' ,� 102 Nor�h Seven[h - Vincenncs, ladi:m�i of Death �• .; ' � .. ` IvTamf ('Fat�rti "n.t�+re A�e F'S 1�ecCased On ��=:e l, I q,RO �,� r�1n�n. I�farital Statt�s �'�ct�c�^d lrSi�Kde ��lataon F"r.,tnv.e-i.?%:ie� Rnm /4hi,?e G�usc of Dcath S1.anLe , � Cemetery � �'.`�.�. Addms �Ja--�rion, 9�diana Place of Dea_h �oo�i •�a�uc2iJ_an j!oeni..t.nG Addrn- Ji.+rer✓,2, �.cdie�a ' - --- - Deceased the hour of: �: 7S %ti'� Burial Date: r13= e 9,, 10�'0 •_ ;, Flmeral Director �OKda � Addres� rt irce�o�, 9nd;n. � . -, • .� ", :�.- 3:. ��,: .�' , , _. Ph}sician nlnr 1, SL�matL .^1.�. '_Addre�= !!'--- - �r_ds•Y,•� � Curoaer '- .. - Remcd Book r'o Ch-'6 � Page No d 9� 7ssued � ' .. :�E:' ?i -�t- ;i � ' c"lr i' _�� t � _ �..,._ -_... it ,• � . � �. I�G-'�Jt � SEAI.':,"ii -i� ' � �� �' '�'•, ..�, • Heal 1 O icer . � � � la ; =. � it--=1; �,= i� il� -��� ;►. ;. — , 4__, 'i_ ' 'i `� '� .!i_-�, � , ,� -: �i"-- - . .' , i�-, � � �� � ,'. ;, ,�:;� y , , ,.. , . . , , . ! � �� „ : . �, ` 'it ,1-- 1 ;�- f, , ., W -„ ,,- . ,,--�4' --i!- '!. 1' '1- � --�`„ ;. ,- _ _ •; �� � . • . . �' i � .1' .t �_.11't�.��.� �' � .11.�� . �� �L � ' - --"^ .. '.U. ..�. _..� _ . . . _ � . .