Death Certificate - Bell, Cora M_7/2/1979�u�-a i�1• �h2ur�� �`ll��a�� �
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CERTIFICATE OF DEATH
THIS CERTIFIES THE OFFICIAL RECORDS OF THIS DEPARTMENT SHOW THE FOLLOWING
Ki].i:�,'r�i]�J/i�l
MARRIED ❑ SINGLE Q
79 SEX F WIDOWED fj[ DIVORCED ❑
PLACEOFDEATH Stork Memorial Hospital, Huntinqburq IN
CAUSEOFDEATH Acute Myocarditis
Arteriosclerosis
—DATEOF-0EATH _NOVER7J22' Z2, 1958 DATEOFBURIAL November 24. 1958 ',
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SIGNEDBY A. B. Scales, M.D.
(Ph��sician. Coroner, Health Officer)
FUNERALHOME j�j+�l+ r c�n v„nor�� ur�nc
ADDRESS Oakland City, IN
NAME OF CEMETERY
ADDRESS = � `
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DATE ISSUED— °
iklarid City,
ine 15; 1979
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SEAL
IN
soox no. H 4 PAGE 74
SIGNED - O �ir � � K�", ��
(Health Officer)
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