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Death Certificate - Grubb, William C_11/16/1978,;� . . - . . • / �� / � � s � . � • � •. . • � . . \ ,` . � ,�l / . . . . . . . . - �Y! _ . / , :• DGPARTMC-NT OF HEALTH . . ' ANDERSON. INDIANA . ' �'- � . . . . . � ��i•tiftr�tr nf �r�ttl� T'H1S IS TO CC-RTIFY, 7'6at our records .how: � ' Nime.. .. Wlli_...C. �il'A� ......................._..:_.._. � ._.—..__.._...._._.__._...._._..--'--�..____...._._..... dfcd .. . . l .... ...........ig63..._................ ac .41� �!! ac .g� �o �s a . _.. _..... ___ �� 9 Year) !fiuurl � I �rcn. k m,^:.��or urd) IMomh) (Day 1 • A e at deach ........ Color....:.tiR11L� .. _. 1laTS10Q . .. .... - `- -- -.._ -. ..... ... .. B l�/......... Sez ..... . (Yeen) (Mnmed. Single or O�he*) . Primary cauae of d�th givcn was .. .�UI61�S _.. .. ___......_...--.- -----._.._..._..__.. . ..... ........ . _ . ....... .................. ..........................'--'._ – Ccctified by ...j1,.ii. Junc,s N. D,....._ ................. ....--- ------... ��d.�.indSYZ6�--�----..__..._...._ • (�yaician) ' Place of burial or rcmoval �nty�p�pg�r Ogp��rq---.�-'—'-----. Q8k]anQ C1�,�r�r�111f---"_._.._........ � (Cemrtery)' Date of burial TeC�uery 11� �1963...�..x..uol°.°l°"f' Cardohael� 4odereunrw�idla*ia._.—.._...._......... .. (funeral Direcror) . Rccord wu filcd_Yo ..'1 -.1963� ........ Book t�o. Ch jl-.._. ..... P��e No. w..._ ..............._ �'Y° - s .._. . . , SEAL ' �� . .... .... � __,_.�__ ___...._. _ ----- - --........_.... � , . . '.' (Hrnl�h O(fice ��8 `' ' Issucd on MYICh 2L3�..1�3........_._.___---..—.._....._ .:.r----------- . � - . --: ; '. - . .. , . . _. ,. .. _ . ' . � ' . . , - � . , �: . ,. � �: � �_ . . . � �. � • . . . .. .. . . ' . , . 1 '. . . � j �: . y ' ��. , . y '' � ' . . .. . . . .. i. . . , . ' � - ' � .' . ' . { . . . . . . . . ' . . '.' . - . .. . �. . ' . . ^ 2 , ' � � � � ,' - ' ' , . ,_ : ' '(� �_.J _. � . . � . ,. . i � - _ . .� . . - _ , ' : '�-y.,_ . "s'-', r ..