Death Certificate - Barrett, Wilmer Louis_3/23/2011m �Y=s � � No�O. Unlficxn
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INDIANA STATE DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
State No
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688�27
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Morc:s � oays � Novs nti��_ es 07/30/1917 PIKE COUNTY, IN
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3459 SOUTH SR 57 ROAD
19. DeceEm[sEaucamn 20. Deceaent0lMispa
HIGH SCHOOL GRADUATE OR GED
COMPI FTF� NOT HISPANIC
SAMUEL
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BARRETT
IN
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Cause OI DeaN (Sae InsWCGOns AnE Evmplw) :�proavna;e
29. Pan I, En:er Tna Cha-m Oi Evmts - Diseases, 4yunes, Or Complicalions - Tnat Dvecty CauseJ The Dex,n. Do Noi En:er Temvnal EvenB ���al: Onset
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Irnetlia�e Cause (Final �ivase Or CaW.tbn R=sitting Ir. Oeatn) A CVA ORE WEEK
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CURTIS
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,: Sa:e Potm 53395 qnENTION ESTATE: TTe Social Sewnq # is being repuesreC Gy Ibis sta;e aBenc� in or0ar to pursue responsio0iry. Discbsure is volunary anE Nere vnll be �ro pena2y (or refusal.
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