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Death Certificate - Byrns, Mary Pauline_7/29/2003
t - ,.; .:.� _ � • < _ � �,,,: � , -liL - , 1 I . � = t ; RECORD OP DEATIi �T�� `..--i I � -�: ->_. � GIESON COUNTI DEP�i;T\IENT OF FiEALTH PRI\CET6\�, I\Di1NA THIS IS TO CEP�TIFY', tna't our records sho�c_ n'=' =`•' �'SL: �.i N.� ��YRP+S died ��/?2/£1 ai 12PN Gib. Cer:.=:cs�. �rir_ceten, �nd. monlli dap peaz hour of death street, hospical, rural �ge ai Dea'th �5 ce� Fe . Coloi• Y''�' '�iariial Siatus ivr, years �cri�e w•heiner mar:ied or sir,glz Pr:m:u•; ca:se oi death �iv?n ���as Ccl'C'."_CDU�II]OSI`._' ' Signed b}- T!3'EtiG2'c : . �!?2�kc.'t� ?(:.Ll pnys:cian or coronez n 2rrE °. ; �r_nC0�0!?� 1RCi. address Piace o' hu:•i.I or �;mov::l n�o- .,�c. _ �` -•�gv-11° �-pd. _ name of ce^ieu^: atid=e,s D2i2 0I £E�L i = Fut:eral Director p�? 1'LC'v _ 1 1 E� =P.0 . address i� /%'. J � � � �J� �•�i �� �� ' '.. L/ � "��-�'_ - .,. Slgnea !� Gibson Count}- Healdi Commis=ioner �H�:=2.11L'� C1 �'✓. _.!']f! . ��<:� �F i addres_= daie L• � / P,ecord2u loc:'h• in i�oo?: No. �� Page \o. 3" Filed: �-�� �'-