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Death Certificate - Grant, Fern_3/13/1980'(i `� , ' x?.o 21 �" � �,,f+. a' H . _. . �>-., �LOCAL CERTIPIED . RECORD OF DEATH • r, . :�I.1 � � . i ��� ;. ���r, . .}E•7 k . t�. _yti �� f,.I �,� Is i . . , f�/ ��li i�:.� Lj: � �� _� � � AII7GiC� B . � . _ �.r . _ ... , CITY-COUNTY DEPARTMENT OF NEALTH .. Ci�r af Evnn.�•ille— VaodetbutQE Count� . „ 'Tp Er.navilie, lodiaoa l� • . h�3.����•�}'� I1>� ! �l � f�i f�� �1� . _ �' 4'4. � � . 11689 : : . FERN GRANT :,:? . ' .TFlis is[u Cer[if}'. [ha[ aur trrurds <ho�t•__-----------------------=----,^1------------=----- died , . . . .... . . FEB. 25 1980 .__ ai 5:42 PM ' ----_=---- DeeconC s�------ . t -------------s ----------- ------------------ � --------------- � montb . ' d r y<.r hour o( dmth � ;�q' . �i�. ham{t!1 or rurd ; . . , - � . _ . . • � . . . . . . . ! �- •;. 1� A�e at de,ch_ 72 _ Srz---Femal-g:olor---��'hit�-----�---------=---=-----Martie�--------- �- .6... .. "' _- . . -. ' adte �hether m�mled or dnyle � : . fe�n . . �, �' � . , .. ' i.' ' . Yrimary cause of death given K•,s. Massive , internal�_:injuries-Vetricular _accident ____ ;:�. - -._ - - -- - - •-- " ;�- --- - ;- -,'_ . . . ' ' ' ---'—`- --- --------------------- •� ' ' ----` --- � -- ---- . ---- ----- ---- ---- . .,. . � S�gned by ------ D._ Wilson_ ' ' - ' ---City--------------.--------: . ------------------------- .ee.m � . , . . . p}Gx.XoR o. . �r � . ., � . �.�� ' �' � ' hlont omer Cemeter �� � �� �'• Oakland Cit ; Znd`: ,r �. � ' - :Place'iif �burial ur rcmm�:d------ g ----- y------ y----=--- ----------- .eare. . - -------'-' ,. ' n.��ie o( tmieterf • ' ' .. .._ . 2-28-80 Corn Mortuary,Inc. ' Oaklancl'Cit ,Zrid:__' ' •Dafe of'burial --------- - - ---------------------X ------ � : �nerei Dlrector -'- �dd� . . � •. \ •• � � � � ; . . . . .� � . ' �R_..:__ �'1 i�°�7,^.'%�•� ,�%-----Re �strar. ' - . � . . . Si4ned ------ `�%=------`-'`--'—?-�Y-----� g ' . J .- • • , . ; ,, . ..•.., . - . . ISEAL] �� ' ' Evansville, .I� anu • � 3-�1-80 , , ,. . : ----------.------------- :, ., . . . . . � - . . . d.k . � � . 'f39`I'E: Recurded locally in Book_No.-------- 45- y .NO. __ '_"_____" _' �.,. . FEE �2.��• t��f . j�