Death Certificate - Dougan, Mary Louise_1/19/1978�
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Ag'� Rf� De1ih �vrite �chether r.mrried or single
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Primai•}' cause of deatli gi��en ��'as.--- �---
Hov:ard N. Ro���.�2Q___—�a�an�—�itSr�—Ird
S�gned b}' . add��ess
phcsician or coro:ier -, ,
Forsythe ' Oakland City, Indo
Pl� ce oi burial or remova� name ot ceme:en�
address
C orn�S74.x't .u_�rY—�akland-�itY-, SnrL
Date of Uurial 12�?7�7 address
T�neral Dinc:or
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.5"IgI1CC�— G.� _mi Countip licalth Cornmiss�oner
Oa}:land City, Ind. 1�9/78
address date
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Rccm�ded 1oe11l� in bco�: No.---H—Sz 1'��b° �0 3� ]'iled
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12/29/77 --
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