Death Certificate - King, Velma K_5/12/1986S7A7E OF TEXAS CERTIFICATE OF DEATH srnre Fae r+o.
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y nrnao�o���n Velma K. King i'emale 1-27-86
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`m m ~ Cameron S�an Benito ws.�runor+ Doll Vinsant Eios . Yes
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� Marriec� Inc�iana U.S.A. No Rollie F. Kin
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E� : Texas Cameron San Benito 2� Mi. W. 77 Yes
V. FAiNE�'S NAME 18. MOTMER'S MAIDEN NAME �9. SIGNAtURE OF INPOPMANT �
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(` = John I'. Knaub Mar Ann t�lest Rollie P. Kin
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� �� F O PARi O�MEfI $IGNIFICAN� CONDITIONS — CONOIIIONS CONiP10UiING 10 DEATN pUT NQI RGUiEO IO GAUSE GIVEN IN PART 1 �a) :'1. AUTQPSYi
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Con estive heart failure G.I. [�leed with stress ulcers No
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C � 220. INJURV RT WORN I�I. PLACE OF INJURY—AI �ome, Ivm, sboal.leclory, �ZA� IOCATION STREET OR R.F.D. NO. CItV OR TOWN STAiE
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� za,. ro mo emi oi my xnowiaopo. aoom occwme ui mo Umc. aom. a�a p�aco n�a 2�n. pn Inn Eoeb ol evominetlon ena/or Inveellgmlon, In my oD��lon domn
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� o _°a Dr., Curtis Ma nard M. D. °?�{.56
Y C w°u? ���b.O�iE SIGHED IMO., Oey, Vt� ]9c. HOUR OF OEATH s J� Yep, OATE SIGNED �MO.. Dey, Ycl Z�a NOUi1 Oi OEFiM
. °� ° o� 1-29-86 8:50 P. M. Ea3
r� �'U 2Jtl. NAME OF RTTENDINO PNYSICIAN �lyp� or prinl� � F 210. PRONOUNCEO DEAD ��e, PnONOUHCEO OEnD plour�
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c� Dr Curtis Ma nard M. D o� �r
Q O m 25a. BURIAL. C{i[MALION, REMOVAI �SpCCIIyI �54 DATE 45c. NAMG OF CEMEiERY OR CREMAfOfiY
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�-- Q� W]Stl. LOGAIION �Clly, lown, o� coonlY� �S�alnl 26, $IGNALUfiE OF FUNEliAI DIRECT011 Ofl PERSON ACTING FS $UCH # 7 p 4 3
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> g 2-10-fl6 C;racie S. Oviedo Letticia S. Garcia. DePut
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