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Death Certificate - Dike, Hazel Irene_3/27/2000\ ��•E i y .��j •.� / ;�; R ZO�j � POSEY COUNSY HEALTH DEPARIMENT Coliseum Building Mount Vernon, Indiana 47620 CERTIFICA'I'E OF DEATH 3845 Ihis certifies, that according to the records of the Posey County Health Department Name HA2EL IRENE DIKE Died in Posey County, indiana on May 4, 1998 Time of Death 09:00 PM Marital Status W Sex F Age 83 Race W Place of Death: Address 2100 WEST RIDGE DRIVE City MOUNT VERNON State ZN Primary Cause of Death Given: PROGRESSZVE MYELO FZBROSIS Physician or Coroner DANIEL R. SHZREY, M.D. Place of Burial or Removal: Namc MAUMEE CEMETERY City OWENSVILLE State IN Date of Burial May 7, 1998 Mortuary:HOLDERS FUNERAL HOME Book No. CH7 Peqe No. 33 Record was Filed May 18, 1998 Date Issued t4ay 18, 1998 Not Valid nless`� Sg.aled �n.�� osey County Health Officer SNI99IH RIQF3�A CCCZ8C8ZTBT Yl'd ZC�YT 00/TZ/CO 1