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Death Certificate - Green, Clearnce Ewin_10/23/1995�, �� :�:��.;,.�� , : F ., k --i� ! ` } t '�' , �� ;!:.,-4i•-_.�� ;<i��_!1 { r `��t,..Ei;,� ;,_i. ,� �, �!'; 4��ii sl �� ti:� j�:i' �" �'�` '' , ' ' �j.� �� . t� , ��° � ; � :'- i � �� r E CERTIFICATE �OF� DEATH 4-` i'1 I' ! �I � It:--;1, i . . ..-i# 1 i' i DEPAKTMENT OF HF.ALTH � : �' et 3 , t}� =�,'..'.��--�� . +t -i .�� ,i ., '- . �� { (� � - �; �� ;; � I{ I� C1TY�OF'VINCENNFS�OIi'COLJNTY OF, sxox , �,v r' • , � , < <, i „ � !d , � t � �... � q i , s � � � ' _ i t -- ; � � , �,., , , : ed Record"' I� ,. f r 830 North $evenffi Vmcennes Indiana �� ,; � - i i � �.. ;� E ' �'th J�"'�j �� 'i! 4� _:t! ,'-°'+i . ;l�.--. "� ; � � -t ;`: =1� i� :i .i�: � i .,� ' r� ,� `�i, � _. , '� _: : ' 'i '-_ ' . _ , + _ � ' n ` F . :r �r '.:; �° � �. ,• �'i'e`a; � � � ;; � Gt'¢en. � � � �: i t . , �� Se? � Deceased on RanKa2� 2$� • F976 , —i� , tt-•;.t�.;-fi�. t� :__._,,._.__.�,..�.�;.._.� , , tl � ..--,a: _ r, ' - �le�e,l (Mai�ital=Status �1a�tcced'(lUe�e' Fo'�si.ae�Beck �.caeK. � - �Race{ (Uh�,tr� '� }i: :.:�t �1 =��}t�� = �7._L�!�i _�i^—'i1 �f_: � '—� . �' ; , fi. ,+i , H�� --_!k s� of Dearh �� ; ! i t C�aK�.0 �LOEtE�t1LLQN2p{Kt,t�w � t•. , � r`:t� �� t.t�t 1 i! �_'� !` (1 1.:..,- .�: .,,': � � � �� —, �-, � i� i �i � ti. �}:"";�_ �{� iF.._.�I'-_.:��':I� � _-t� �� f '� � •i e. � ["_'if i�: =�E--?� ��-- � �t - t3 !�= .�= '- � �. � � , ��. SO1tPtUf.Ll�'"'�I II �� 1 �� A(j(jMCC� " ' �lfw�n�.i�,I,�Q n d�Q1i9� { 1 . . � i.....1.l...::'t��/q�'..-� 3� .. +. �i ' �� ji... I. - _ . s 'i' �I ,.; :� i '�I'...{� l� -t ,��.i f;Death, .�.,. 400d�ST�(f�t1XQIIbOd�Jf.t�[�i'ACC '�� U(17C2rUtOd��IwflinYrn• �"^,'::�-;'.5��. • -:f! ,il. 'I iq! ai..�... _ .f._al �f"y.iin� -� - . . _. ...�, , ' . , _ edtliehoui�of�� iro es P�M �!� IBur►a1,Date—�^�O'�'! ��1�1976'-" 1,-=�-i !� , !i-` F ,; �: � 4 .. .� � � .�.-,..,,.5 s' r , : -�r ti! .{ °�i !i , t �',.'� f,- � ; �i .f� t,: ,` i +i_ , ` ,., � 1•Duector : Co�. M,;tiLwwa -� t�.� �Ad�� dali�vitti �' 1.i 9�a� � �� 3 ,� a f. f� �� . u r .i� t . t u -t,ti. 7 t�. i -� s--!---rs � + � !- .�"' yIIl�''_�� ..lt/-�..c i�.....js .J}"" il :1��'�t�,�{� -!�. 's�,:..�� . !l-' � ':� if �j�- {I . i C�4�{.w��--�'l:J. MK...cay M:�J. -�i'�•-•'`FAdd��•.�r•� Ui.:ce.i.iee� �..�in� ��i . •�� _._,��! 1 °3� ��.� .��. �.�� .��. .�. .; � �� ff ^ 7 �i.. : ":_.:'• -�T::1�:.�.�.�� ..• . . .f: '� 7 � 1 ,.) BookNo•�'C� �S �PageNo lD .f;'��' elxxd " - -:i `�ri �I�il".�•�� i) } �� i �.1� i� �ir ;� .�.:^ _; t_..•i t.i�. � : � .i�." t.il,j{:it.SFA1,;_(�; ; � � �� Ei '� '!i `�r ,. i�) ` ", _: ' ,u. :�i° 1�`:'t a ,� '± �j il;_� r ealth'OiHcer' ': _ �i��i---. tl ' �3 - - it_ � :%..�I �� Tf� .�� ,��,,%„�_ . . . - � ,.. .r—�� , �t— II , �1 I� ,; ..�; . - . ,; . � i> t, :; �,._° . . „ ii� , l�..._!• :�-,� !' . .f�_- i� '� .6i. � :. '. . , `' , . �� , � � 0