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Death Certificate - Hughes, Hazel Juantia_6/11/2001
0 0 crr�rrFtcnTr oF• rn�,�ni: KNOX COUNII' HEAL'I't[ DEPAK[MENf : 624 BROAllWpy STE2EEf, V:CNCF�JNFS INDIANA 47591: This Certifies, thrst in the records of the Knox CounCy Neolth I��xsrtment: NAMG OF DECEASI:D: HA'LEL JUANII'A HUGH�S DA'PE OF DEA'I'FL• June 24 , 19y6 AGE: 79 SI�C: F[T1ALE RAC�: WHI'IT ' MARI'I'AL ,S'1'A9U5: MNiR]TD: MI�I..V'CN liUGlll�ti CAUSE OF' llEA'[Ti: RFSPIRA'IbI�Y FAILURr. SEPSIS. CIIRO[JLC COtJGFSTNE. iIF..Alt"1' FA:[LUkE. PI.ACEi O� D:[SPOSI77:ON: I.O.O.F. Clfi11?Ilif{y, OAKI.AND C7:7Y, 7:NDl:ANA PLACE O� Dl3ATH: GOpD SAMARITAN gOSPT."CAL VINCHI�INFS, ]:NDI:ANA HWH OF DEATIi: 11:50 AM HURIAL DATTi: June 27, ]996 FUNF�I2AL. DIRECI'OR-ADDRFSS: CORN-COLV:CN. OAKLAND CI"IY, :f.ND:f.ANA PHYSIC]:AN/CpRONER-ADDRESS: I2RGINALD SANDY 1� VINCENNL'S, INDJ:ANA IIOOK NO.: CII-30 PAGE NO.: 50 ISSUL DA'I'E: March 6, 1997 `��,�`' �' �.,:,t' � `-�� �•� . _U �h . SHJU_: j KNOX CWN'IY HEAL'fll OF'F'CCER: . u � �