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Death Certificate - Helsley, John Allie_7/9/1992_ =! �'_ - t��. : ���. _' _' -!li � - � i ' t�.__ 'i-'� _ -1'._ I' -_ " _ - _ — — _ "' = i —' � . :— _ . = i _ — _ — — _ .�-- - -'l.- i __ --�. �-_ . .. _ . -" — �. - �ii _ — --- - � - . ' -- - ' — - � - - PIlGE COIJNTY -- ' _ ' ^ � - -- ' � -- - = DEPARTMENT O_F, hi�,4LTH � � - _ - ,- I - = " • ,-.• � - _ - � ` - ' � ' PETERSBURG._INDIL�,NL�, ' E� � _ _ ' -- - _LOCI>L CEFiTIFIED ' -- � - '�= � '- ' '�'- - - - - - � ,. i � _ �'. � � i �� ,tli ' -� � ' � -� ` = ''�_ - �' F_iEGORD OF DE,4T-M, _ - _' � - ;. _ - - � ' _ ' � -' � _ . ._'��_i1� - :': h = � �-'� :.��I ' - t � .',�J /1 � =�i� _ _ _ � � � � `A/ - �. � - Tti�s is tn Cemfy that our records show�• ._ < D � - ��� �i.�-SL-� � - - - � � ' � _ � � '' ' .,i G+ ��i '. t� _- �' i . - _ _ � died l � : -.-_ � � -.02 -�J ' /'� � _ � .. - i � �_ Jat �. . � - F ' A7� � _�e 7/_ __ -- - -- , � month_ _ � � da�Y,�, ��. ��. ��; '=Year = , �. , : _ : � hour.o� ea - t '' i' ��/' - �1, -- ' _ . _ ' ASe at D; aN -�L Sez� i� � Color. -�/f1 . - 1 =- �'�%/�.e.2/EGC = - ��t � . '. I 1 ... _ _ ., � F eyears _.. �^ . _ _ /� �� - . �, . �mar �or sm6le � �._ .� � �.•_ . _- . �Piimary�cauae of death.given was-� t��� � �S.�4F'=-/�(/�L�%IO.C/fi.PG-���5'Fi9SF -. — — �. �,'_ — _- ,��_ - ;�.�;(� - ,i - - i - �'_ =��li-'I' 'i'- . - _ _ _ ' _ - _ .1,'- ' . _ " _ _ _ _ 'i�=i1'�_ --1.= - -'J. �.� _ :�� .�,I._ - ._ 1 _ . . . .. ... . -_. � : .� � ,_ I � .G - - � .— _ —••,.�rY.-�.va� /�71); — - _� _:4'— — —_ _ s�„ea sr . . . " _ , - �' physicia o� coroner -�- �- _ �� address ��_ ' /1 � --.- ., - � �i : I� lil : �y/ � . __ , /� /� � ---� — —. = Place ofbunal o� removal � �////JN7�''%�/n-�-R�� (-.�'� "- D�/%LA�cI�'-` �7T.1+�'-�-� i � _ - y '_ _ '_ , - me of ttme ry � _ � //pddress �. ' � _� � _ � _ ' � DateDt:bunaF .� . _�i� ' - ..✓�= . ._ _.//� ., L:,_ ��. .! . - - _ _ _ t . _ _ - _ . �F` e _�mrec� �'_ - _ address _ ' �, _ _ - � _ _ � � ' � _ . - _ .' - __ _ - 'S ed-:_ -' ' ' - Registrai - - . ' ��'. _ . �-i�� 1'r - 'c • .� - . _i,,i- � _ _ '�7 ' _ _ i �-SEAL .e _ _ � .PET ORG INDIANA ' - � � �: � ,��/ �� O �99'Z. . ' c lj . . � � ' �- _ _ _ . - _ I ' - 1��. .'_ - 1 ." '_ .'. ';�� . �_ i ��_'�i� . _ . � �. NOTEiiRecorded locally m Book No �-� � � . .�-Pa6e No: �- . - -� I. - .I • c ,. �. _. ,;.FEE �i1.00 .� c .� - _ �t� _ _ _ _ _ _ _ - _ _ _ ' _ _ ' _ _ ' _! - - ' . _ '_ -i _ ��__ .i ='� _ - �i-t '_ !i - _ _ _