Death Certificate - Beasley, Leona M_12/7/1999�1
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IFICATE OF D'aATH:
KNOX� �P�TH D&PAR'iS`SE21T:
624 SROADWAY STREEP. VINCENNES INDIANA 47591: �g 9� j�0� V
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This Certifies, that in the records of the Knox CoD TE OFaDEATH PJulyel3, 1998
r7p�.{y pF DECEASED: =�EONA M HEASLEY
AGS: 70
SEX: FEMALH NIARITAI' STATUS: MARRZED-WAYNS SFv1SLEY
CAUSS OF DEATH: DERITON2TIS WITH HACT3RIUAM SHOCR. HEPATITIS C. CHRONZC � �
PLACE OF DISPOSITION: FIARIDA NATTONAL CEMF.THRY, BUSHNELL, FLORINDA
PLACE OF DEATFi: GOOD SAMARITAN HOSPITAL VINCENNES, I.7DIANA
F{OIIR OF DEATH: 7:�� PM $IJ�iAI, DATE: July 24, 1998
F[7NggpL DIRECTOR-ADDRESS: COiVIN FUNERAI+1?OMS, PRINCETON, INDIANA
Pi?YSSCIAN/CORONER-ADDRESS: DANIEL J COMSS MD VZNCEt7�1ES ZNDIANA
�� ISSUE DATE: July 28, 1998
BOOK NO.: CH-30 PAGB NO.: 55
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