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Death Certificate - Callis, Clara Dell_3/7/1975; ", r` - f I{ECORll OF DE.1'fH . �` �� : �, . _ :� ':'•G1ES0�' COliVTY DL�]P�RT:IIE\T'P OP.IiPALTI� • . Yltl\CETO\, I\DI�1N:1 . . , . . ` " THIS IS TO CI�RI9FY, tlia't oui•, i•ecurds sho�c ' CLAA9 DELL CALI�IS died . Aug. 3. 1971 at ".5sL5EM _ owensville.Convalescent C<nter • month � day year �•hour uf deat}� street, hospiial,�numl Age at Death �?S Ses�-F�__—.Colui•. : iJ.h,--�'jarital�Sfnius MaFr-led � � . �vrite �chether married or �ingle VC:113 ►� Priniary cause of 'death gi��en. ��us MedullaTV failure- anoxla Sienedby G. O.'Dlek�zl�gn.=.u�. �ens$ille-.=Inc3. � � � phcaician or.cm•oner addra�s Place of burial or remova� OWenSVille � Owe ]�s_v_],_L1g�Ind. . .. narxe:�of ceinetery� eddress � Datc of burial_�/1z�7-1- -Hal-�ef-F�rnerel—Home--E�wensviHe,—ind. — _-- Pm�eral Director d resa • SE�L , -- /� i ,Q ��,�r� � !,��,��l,Q-Z ��f,� 3��,ie:a Gibsai Cuunh� Health Commissioner Pr i n cs.tDa,—Ind-.--�! ,?;-� , ' ___ -� � address . . at� �� • Recorded locally iu twok No.' II'�1--�'`iae ��. 17 F:�ea: A�6/71