Death Certificate - Coleman, Gladys T_1/25/2000.:
LOCAL CERTIFIED
RECORD OF DEATH
This is to Certify, that our records show
Age at Death �1 �L% ;
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Primary cause of death given was
Signed by
Place oI burial or
PIKE COUNTY
DEPARTMENT OF HEALTH
PETERSBURG, INDIANA
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Date of buria � �� ' r ' ' �� ��•• - ' - - � -
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Signed � / • / Registrar
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PETERSBURG,I\DIAYA � I �-��-�% � SEAL
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I�OTE: Rewrded locally in Book Na ��`� (� Page \a ��� %� �' � FEE: 51.00
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