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Death Certificate - Freeman, Raymond M_1/2/1981� : -v .i� . � 'r' ' Z.'? i � r., t�� .' e , . , , . nX: . }:. y t `.. i . � . �-'.2 � t J � .� �.i. �'n l� ? � � I.. iv �� , � . . - � . . t �'. : ., . Y � Jf1' ' t.G.'_'. � , . , . . . .,�•S�.,t� iyj� �{'��f � s�i r t�. Ae �� .,�yx .� ...r ti��.y1i .�. . �... t j7 .' 1 t. r� s<'�� t.. r t qf 2 . ''" '.r . . I,7�..1 "'N !�. i� �a � � �• 1 �^ . . . ..{ t i' � y., _... t- 1:, r �' s` ,�' � .'f��t�.'jl. . x . _ .}� . ... • . � ,H� . ^ �• _ � _ . . , � ��e--�.- • ...[1 - ' - .i. . ;lr_- ♦v�.f'.� >�1- �^1w.�`=i. ' ' F_> _ JS '. , n.�ir:.h , . . . . P ! - � . � .� " . ' , .. . ' .' � i . - . ' . n. .� . . . : . . . }f _ � �.. .� .....�� ._. ..-.�e-W�t�.:...-. v ._.i+� �... �a60u.O'___' .��_ .. ' r �'� i�4i��. . ' . ti .1 . � -_4. , . - n � , '� RECORD Ot' DEATH'"' � � - : � r,t _ , , � GIE;SON COli�1T]' llLP:�I{T\fENT OF' IIE�L'CH � , i•�ti`cr:TO�, ixni:�n,� �` � `.THIS IS T0� CERTIFI', tliat. our records �hoK�- -_--._-_--- .�amiQ Nr� N. .• r Rrr Ma n _ ---- ----- -- ------- --- ,, . _ , • . . 9�''� 80 .. - --at - °- - Ov;er.sville Corrralescen±..Cen:ar- . --- — -- — _�i;Fa ---------- -- -------- -- ---- ----- ----------- -- - - - - - ' month dey �: year'. . haur,_of death - � . � : . ' . stree,, hospitul, rurul .. -. 4�}_. _ , _, .. -. . .. . . ... . . • �r: �:��ar:::-.: %0 b7. , h. . • Age,at Death----------Sex--_-------Golor--------hlar�tal Status ----------------- - -- --- -- . , _ Yeare� . . �� . . � . � . u�rit�• �cheth��r mar.:c�i ,�r •.in�l�� .y: .�� . . . ? Primary cause of deuth given was_.._._.___' N!edullary ,=ailure �.:-::- , .�._- .,.�. .. . • . ,. Signed by--=:----�ler� O.�TJ?ckenson_� -DG ----- -0•;rer��. i lle, It;c. .. r phgeirian r.r r��mnnr . � _ -- _ . _ _ address , .. . • . Place of burial or remo�•al-_---___--__--Libsrty i;�mtiii.ar�a, _�_c. . . name of ceme[erq . --- ---- - -aJdm:; - -- �. '�: .:' ' _. , i � _ _ _ . Q,r`; ' l ;' i , � Date ot huri:J---_ 9L��&0 --- --- ----Werry F_ rI . Pos..,, �.l � nn . . � b'imeral Uireetor . " _- � � :�ddres; � � � - - � \ 1 � �sU. � .� b'f . ��{ ^A 1 ';. ! a� �,' • ' 98A L ` � •. � .. '� !.' n 3 - Y' ' I • ',l. � .t.• . .�1�:' {:l`...:•.::'4`.' � {.�, . ..� X/ .. ' •• , • '. 1 .� .� r � � '•' . . Recorcted.lbuell'y �u 'baok No. - - -10- - -- � ' •_'; , _. �,' � - . , ', ,, [. Y . --s - - , - . � = �'; � +`` � �,,- t� ' :; y.' . F., _ .�' � , • {��/ ' . i �j//�� [1.�:'�.r, �. . . 5'IgT1Mj___—�'___ . `�.'_C-6_� ' t� ' '_ _ _ Gibson Cow tp Health 0.nmi�CriZner ✓ '-- -- --�g:C�c.^.� �1-t.y�' I!lC, :v.�iiJr�'�U.-, . .. . .__ _ __. . '.. . . BfShcG55 � � ' � lLll•r PaRe No._ 22---- Filed:._ . _. i0� i 0,/t?G '-.. - - - • - - - , +. - ; , o '� � , . _ k . . _ ' �_ : ^'S��?`{ � �i', �� L ( . . ' . ` . i l �' � i � 'r�; .' � - - �.s . . ' ' Q;.L '§ {.' .. 'n -J �.. .s . . .r. a t . � ° �' ' � . S': � � } Y, -rb�<i�k�i� �te�W.t �./ :�i� ....a• . � ;�. .'_�� .. ' ? :ti, • ; Si� . l =* •� a; . . . . _— f. .