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Death Certificate - Doan, James R_9/8/1975� LOCAL CERYIFIED .`fY COI�NTY DEPAAYMEtdY t�F kEAL'Fii -•�I � j� �'RECORD OF DEATH CIq of Evamvillc—Vandcrbur�h Cou� � p (� — . ..' Evanarille,IntLaca,��.•�:.:' _•l'��. _"0�5a7<._'::�_.; � - _ - � . � . �:. T - . . . . . , . . _ - . - _ ...�: c- ;_ � . .. . `. JAi`�'S R":' DOAN � T6�s is to Cerufy, that our records show ---------°--` ___ .`_- -- - died ' � AUG , 31 - 1975 -- -6 45 a ?' Deacones� - . ` - . at. manth � da� ,�ar '- hnvr of de¢tL atree; 6sp�u1 or raeal � �" � 5S • Age at death i'� _ SfY' �ale _ Color _ r� " i`Sa^Tied ' ------ ----�- - _ • • �• _.1a�s ' _ ' ' . .--�rits v6nWei�marrid,or untb � . . _r ... . � . i. , .:....... ' `.. .. � .. -'.��. . . �Primary cause of.dearh given was_ �ar'cinoma h=ad of_p�ncpg�,q_____ :_ _ ___,_ � v _.....; .>.� - f - �� ' � r ' J _R;_ 47adde1l ---- ----- --- Cit� -- + -- -�3 ' � ° ' S�gned by "" ' � nsnm,o arcmwx� � . _�. : . wa,� i :. � � � . . .-- - -_ - �r .� - r . .� � ._� R Phmof bu �al or removal a+enSVlTle Qwensville, tra � � t �� . . . _,� ' i . -� mm o[,aemetcq -��` E �. . ' .� Wdra ..f � .?� � . � ' ___ . . t ___� � __ � -� Date of bunal 4.� YS _ xendall F�i��g��'j�� " z F '- �. �• n�n�n�w. -; .aa�. ."� i� '� -. /)� p� �.,•[� �\ � �' �/ • 5;�� ---�IS��--�k l.l�Z�� /�7^ii � Regutrar �>� ..._� � � � �, � /�: � �Evansvitie; Tridianca ' -" — ----- 0_8 �� , . Ysewr.i' . t� �' E p _ _�, 2 _ _ —a -,� -- i =-7 ��CC4. ` '�' ,_: ',. - ',`.Q _.._•_ _ . � . � ...�. .. . --NOTE Rtcorded locally �in Boo&'No ---- '_ Page No - ,-�_ . t : _:y , ; EEE $2 00�_f¢�.