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Death Certificate - Doll, Robert L_8/4/1976
� . . . R . _.._ .._ _.. . �.� . �._ ._. _ _ �:_.,.:�..�.._...�-,��:�_�-.:�,:__ _ �� ., Cer�ified Record of Death • CEIiTIFICATE OF DEA7'H • DEPART11fE1NT OF HEAI,TFi CITY OF VL�ICENNFS OR COiA��TY OF HNOX S30 North Seven[h — Vincennes,lndiana -•, Name- . _ Roho:} P �1 J age �t r naceased on_• �J�L. '� . � � ' � --r=8. ! °7h . . ... �X Mc�e "hqaritalStatus, MauiPd_ �oln.r ��lna,� Sl��. �l:'go u��,. (�lh;to ' Cause of Death M a• �?ngcrac.ti.ax Cemetery Mx_ �a , .,c�� -- — - - Addrese - . - �� a 2ndic+xa r ' P1aCe Of Death [J.�nnrl �� �1 IA�� t/ Addtesc lli.�ron.+on� 0.+.1' a Deceased the hour of: / I•n0 njy Burial Date� �1u�� � I, I o�h . •'' FluteralDimctor �,.e�rQ�ha�y Addre�c llirrvnno�r 9nA' a. Physician Coroner nc.n'o ('o�d>.+ l� Addi�esc U..:..o„„e� �_ 2ndaane Record Book No_ Ch-2S Page No._��_issued Da ^ �� r, L\ 'I ^ r!_` yuG,Lt�J�,,,(� . , SEAL I n -, �_. �....., r-_.: l' � IRJ, _ ' ' ��G� �-1 ��;Ie�lth Offlcer