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Death Certificate - Deal, Robert Winston_5/10/19735-y. >' w , ..� . ..•-. .,. i . ?.rz. 4__n. j„_'i1 °•te ... . ..y'..5� f �- } .-7.� � � I f THE�'HEALTH AND �SPI7AL CORPORATION OF= MARIC COUNTY� .�- ��' 'v � ,, DIVISION OF PUBLIC�HEAL7H �`- FEE r^'� . � M1U48EF•GNOT06TATG M�DE _ ., _ t`,{ �.� ' 1841 CITY-COUNTY BUILDING - INDIANAPOLIS.IND. - ' y� � CERTIFIED COPY OF RECORD OF'DEATH OF �� . _ � ...._ t , - ;._-,:. �_ . �,.:'; L.',�;.:-° `. _ " �• ' = RoDert.Winston Deel 4-8-1973 ; ' NAME�OF DECEA6ED� ' DATC OF-OEATH F`' r_' i , q R .. L 7� �. o- . - ', . . _ . . ' ' " ' ," , - . � ' 4 l. � vuce or rn�tr++couNn MARION - � L�TV, TOWN, ON IOCATION '� Iadianapolis; Indieoa "`� �. ; A�•'AK ��� �� •i� _:' . � ..i r .. I�M�I�itl\��(t�t�v ' r � �9t,?.i rx.+ P-',> >l { F= � v lj �', �4, WIDOWCD ❑ MlVLI1 YApR. ❑ ' � � ' �GE 4S ' bQr 'YMRI[D DIVOPC[D� )' ' 1'. j �x ' U.-" . - , . � " � ' � � : t o. � Y. �r.{r� i c�ti' i . , - . . ' . . . _ _ _ x �..r - - .�. FATMER'S'NAMF AID2Lt� NO[1t�C' DE2S; ' '-��OTNER'S MAIDEN NAMF Myrtle Perrv_ .�-..<��� ��'�- ; � -i' ` � - � � ' - �INTUVAIlRW[[M. _ • CAO6E�OF OEATN::�+: �� - ' - � ' OMlET�nD O[�iw -� t �CAU6E IA1 ��C' :�DUE To:�tei= .�,`� - -. �� DUE TO� �CT_ . .. . . . . . ; _ . ' '� . -.�... _... . "" ' _ ....:_:_e.,.._ ........-. - _ � : dioPenie`shock --�-- � - _ . .., . , �- , -, . . t :s y • .v..- [ -!.. 1973 :-. _ si � ' 1-10-1973' . ,_ = ` 1�25_t993 .:.� . rins rl 1 onar embolis. ;_:•--.�---=-°- .'"' . ar mvocardio ath - - � — _ �.�-_.� -- ' = ' _' -I _��..- P r.._:_..______..._.- I ` - = = _ _- � , 'NIBUTING TO DCAiX !UT NOT RE��TEO TO TN! TENMIA�L OISCAlE COHDITION GI VCN IN MRT 1 G) ': -. '� � � . _._ ...� ..... _... : _ . _ . .:.t.-... ._ } ' Oaensville . O�.ensville, Iodiana - �' � :METERY LOCATION •DEATH GERTIFIEO BY R, - Huseman� M P�" �z � ^ • `" -'' _.- ' . NOT VALID UNLESS MACHINE NUMBERED '� -. AND SIGNED WITH MULTICOLOR�RIBBON _ '�.� •...�. .. ." • � { , �T�N°'.:J��''3t ; �— : \�.• � _��� - - � —CLERK i f � \�.�- �// .--` \ / ' '� I '4 � �� /_��r_ � . ^ t , �\\` �j � � � £ � . 1 � 1 t �1' t � �w� '� l—•� � . f S'.1 _f`\/ ♦ _ � ," i . • `> � - . �� `�t���.. . � . 1J . _�,� �e =5.u. . � ,- � ° . # � t �� . �Y'i � c.1 . i f � ^ . - � � �� ��uellC GLnCTZi' 6 `� � ' J � . "' _ _ __ �.. �2 r /! _ _. ...._� a � t • '• y } y .' .,`;-.._i -� :i_ . .�..- ..�.L .� .._ _. i �. . . ° ._x_..- r n.:.�n.3'.3..s, J_S•