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Death Certificate - Haskell, Melvin H_4/18/1991, r� , , ,. ��I 'r� l� 1 � i p-1 � �i' ���t.`� �t . ,u u- � , �. �E , � i� � ,�. i.6�:� ,�;;,'�VAN i �.�!_�� I�� �i �; r �I i� �t �` �'il., ��ii;�I,J ��'d.il. �,,,,,_, ,u, �,,, CEF � ,� ,� �� � �t �� -,i c� � �! , z U � ��� �. � i ';. � �' � i u � ' , ,.' �h;i8;, ,�e �� If'i�,�I �l_��-il.,�:•�� �,�-!�-i�' �t � .II.' NAME��,' �I'IEi VIN; '� 1 ��._ 1 I � �•'I�' I� _� ' ,fj�D1EDIN��VANDEI , '.�.� �� � �ti n �t�,,-� ,f ji �,� - � < < t� ;r�� � �i ��� . � �{� j�TIME�OF�DEATH -���-9� �� Ir' �.��It �� �� i . ( t t {� �S 4 � i�� -li � 1: , socin�,secuw �v' ,• = � ;l ii= -;, ll ' � ; � � _ �i�: ;�,..��; .,-°''-.�'' 1 �}pLACE�OF DEATH �'.0 i 11 i� %'�� � �` 1 ��.li.�� u �I ��,�` � �-': d t ii �.� � 1 q.il 1��� 1:"�'.IPRIMARY.CAUSE'OFD '. �-'�� �� i i�i � 1 �( �i i�� �rfl ,�;u p �I � u .; � i' �, � �` : 1 { ��1� �: � 1� I n � � '.,i � �� i �.�� U f� p � �,:�: �• � PHYSICIAN OR CORON i .'. .(, i: i�. � i. i , ;I , u �{._.j�.. {� �! � � � --,t-� PLACE OF BURAL�OR� -� ���'if �t t2` �� �L 1�1'� �� � � , � • r -��' ,=. l Y��- � '� � FUNEFWL.HOMEI , _ 1 .i.,t y X„! - / I S. i � �3' I rt.�{ ��.i.lt'' �"��I i�CE9TIFICAMNUMBER � �'!, �OR VOLUME AND,PAGI � � �, i� � i -r 'n-� 7� � B , t ,i i,�it"ir ,�i� �'�i_,j � � }..t.�: + ' ����li 11 � 't 'II �� �.'� 'il i�� l'i � ' 1' i ��� �i �' �♦{ 1 IL I I ��I 1�I i� �� i! ,� � �r ��. �i ���,' 1 � 1 ��f�' � i� 11 � � i4�1 i��f ; �� ,F ` � ��. � �i r`' j� ,, �s-, r �� I i� �:4r }. :. ,: -� �� � ,. .' ,: .�-3r....'I. .�i-. �P:�.: �:1�., =1�= -lt•—� � +t� i� �'tE t �!'li-�{ REiURGH�,CO , �; Room� 127,Civrc " i�."1�:�� '� 'Evansvil �,. .�a��� ��.� � IFICATE�iOF �.� .,i-�� i�tF�"I� If te$� � "' � � iHAT ACC� �. � 3� ��.�� r� �i �� �#.`„ 1� , �� „-_.�-.: , JRGH iCOUI f'�._�f�'� I� ��i�.. ,.... -�!-., li ,. ,'. ' -; � lr;� I! �' It'' it:l� I �l �� �,'�. d N ii- ��i � l�,�_�'' �TY�HEALTN' DEC� RTMENT !'� =ntei� Onei�N W l7th; Street� �� ��� � � ���' Indiana �47708�1828'_�j �; �i ,� {{ ��..1{ �� l ;i ;� ,t. �EATH�-REGISTRATION i� ii , {f ,', 'il-, N Il �,_{t , � b� ,- I 1� 'i;� , {�� t� rl". ,� n_�- I, �l -��. � i� ��. :i,: ING TO THE flECAflDS OF THE'HEALTH DEPAFTMENT '���� � a �� �. 1� 1I (� n u � u u Il� : n_��- � i) -:� fi �Z�` 71. ;� �3_ ,+ I� r:l. �1_-,��1) � ;; !�:-, �I „•;I-;,-�If '� I�:.,:I) i�-.y; � -,- +�- I� ih I� lt �. !1 1{ 4r �3 11 II-� ,�, , i! II , I! , li ' ii ir b �, �! �! , ;'- � � �� iNO' Nn oi+ ``-ii_FEBRUARY� 19 `� �t',�'�I'; ,��-! v�n , �� , n ;-11• d ��'�� i; -i��� ��.at � �� � �� �1 i . � t� i. .i, i� c i ti � -ir -(i- -,!' II I � ,i- Mairied . +; Male i �� ' i2 � �.� s� �1 n 11 I� '.'L`SE% u`O i-11� �I � AGE 1�� �i li-�i'If ���i., � �„--�-�;� �! -i�'� �! +' 1;���-u 'F; „,1,�:'� „ 1! i! II: CCAL CENTER; �I��: I �'jI�I��� �� �'��'. �� 1 � . 11'..�..,'li'� 11"��`�; �� �f -� _'�I h,.-u.' EATH�GIVEN WAS r C8RC2' �COLOA' CAACER({� ri' l , 1 � "� �� h �.� il �•�� � (�' " :�:i N ��t-I��� �� i� I} ��.d��� ��i� �) ir�� li i 1�� �4�� _�.�1� '' � y' . � � � '�� �. � �i n. �� ��'��J i .����I�il fl�t1 � ��'.,: d II �� �C���' L�� 1� �� 11' ER�� j F'REDERICK �'J�."� SIGDi1;� )Pi+ D��� �� ' _ I � �r . n u :i�-1i 1 ; H-i t <'d, -���. �-�� � ii ,� It ; �I i�'; i{ {I ��' -��-.:=1�i1�'� i REMOVAC j � WqLNUT� HILL�� CEMETERY, �-, � � �, �, �� '��'t �['��_�i d'�� 'i'�i"�� �'tl �' {� ' �i_jt_1� '�= �'�1 f�.'�. 4 n i- � � t1 „�i ,I.ii t� �=4! ,a� � 1� •�.'1 L � lt_. , li' �i� UNERALjHOME +�FT��BRAATCH,IN� � �4i �r-'� i� '��' i�� � ��� �ti r� 07{I �� �I��` f� � '''i'i �' �f �f','`I'1•� �� � �' .l` i .. �i . :1 . I 'f1YDA , i� }il ,-tr �' -,r ;�' =(� =,t-; _I �� 'II' �:1� �i .."�1°� '�� � �i-� '��'NOT V I! !� I ,, ��!. �, J -,--, �� ri �� ,�, � � � II �� ,t „-�i I ' ii �'-II �� ,i � � I- 1 il ' �_ •�:1� � � � ,.�t i � ,� tl 1 u �'1� � �� i� -' 1�� �" i!'f 'i ; n �� �: � p �� • ; -I �1 i� ;�`l; „� i ��.,I.�i � � �; t�_li�!' � u-.. r'.. .� . n.: �: �.r u, u-..- �: ,� u. 1 '��= � ...��-.i4�•���:'. �I - :fi' � �f i'���.��:��=�� ��'i �� ,� �,',� d p'A Il � �i� � u � ���'1 � �' YD �{ ICER ��I-�� i� � � ."� d ,' �' 1i'„ , i..._',