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Death Certificate - Blackard, Charlie_6/27/1977• � - -- - - � �, r,_ . . . . ---- ° - . _ � __��..,�. _�...._------ . - • .t�, :, . !;, . . _ . . .;. �.. �- - � ----- - -- : -;�.,:. ti� �_„ _ _ ..:..�, . ,, � J ;: . r, ' �,' •_. �'•.:.. P# : RECOSD OF DPsATH �;: • GIB3UN�OOUI�PPY OF HEAL'lii \'l . .") DEPAB'PffiF1dT � -� .a. , .,. �� PSINCETON. INDIANA ,,%;. , ' '•'' !ti{ . nteATTF RT OL'j(_ARD �ied tif.+ T�S IS TO C,FiR�� L olll' i8C0!'dD BhOW . ,, . __ .._a__..s..:.. •�Ti�A� r_�1 �� v 17 . 146 5 A or ., � •-- - �,a n,�!�. .� � hwr ot Qmth da7 ➢� $1Z1�1@ _ * p Male Color �ltetwirital 3ts „� abernu m�riee or d�do Age at Dea . Y� p�sry eauee o1 death given w Pulmonar ede� � by pioce of burial or Date o1 b� �bAL yhysiefaa or w=oner y�me ot a�rf Ptme�al M�� m — �,� `t y . %f� `�'( �''�l � � Gib:aa Camt7 HealtL C Onkland City, •jnd. oe�� , gecorded Ioes11Y in book No.� p� No 110 F�ed: f �. MARK P. l.001CWOOD q�JipACiEA ... , i ' i.:�:'. P t , '� F:a � , ��