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Death Certificate - Barney, Mary Helen_11/8/2001�• _ = � 7�3 ��,� ISSUEDy �ON COUNTY HEALTH D�RTMENT ,: ;�,��: � �"`'�lb � 3� . :. ..:.:..::: :: :. :. . . . �;�;�I � j• ATTENTION ESTATE: The Soaancl ySeanry x is - .. � . .. . . . . � � - � _ ' j;w�B l�°stan+rory esponsibi�ry, pis"ao°wee : INDIANA STATE DE°ARTMEiVT OF HEALTH .. mNntary atitl t�ew wJl be no penaly for relusal. ' . . ' . . . . . . . J'�" ",:' ' ..�� �.� . 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