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Death Certificate - Knowles, Harry R_12/4/1981_. ..�RECORD"�OF DEA�1--1 No,. ..io3s , . • � � ,_ ,'" . ' - � WARRICK'. COUNTY DEPARTMENT OF HEALTH � � � -. �- � '. , ;. • . . . . . .. , ' ,. . � �' , Boon"ville, Indiana, J a n : : 7' • 'ig � 8 1 . . , . ` . . - :� ihit is to ceHNy,',that.our:records show that ' '' . ,, . , . ,.. .. .-. , ` . . _ HARRy R. KNOfULES ` : . � ..., .� , . ... � ..' : . � .• . , ' ',_ Neme . . .. ., ... . �.. . . . .. . , d�ed . ' Decernbex� . ._28 ,� ' 1980r, , .at . : °RundC �lE2benbe�.2d) �� .� . - .. � month � :i ��-.daY�� .. t..Year � • �slreet,� hoePital�or rtirol _ ' .. ,- . 7& ma2e > .�, 'wh'�.�te " . - neven"ma;cn�ed . ` ' ' Age at death _ � Sex • Color _ _ _ . ' . . - � . �,Yeara �; . ' - . . . .. . -merried..ningke;;or other . . , - . Primary cause of death given was �;Acu�te' Cononarey� Thn o'mbo�s.c�s -_�_; ', ' .. . � � , .o . .. , . . _ . . '..�.. .... � . .. , , , . ._ .. ..... . .. . , � , .. . . , . �Certitiedby� � Jertrtg L `.L�:Fie,-`D...�O.': .. E26enUeCd, �Ind.�ana . , . - . . � � � - P6yeicfen or Coioner �� , � � , . . �.'�� ` Addresa � � �� Place of bur3al. or removal�+ �C'.Ban . .:'.:' . . : .�.,� . . , .. . . . . i�M1�.T2�*ql . .. . � , , - � . ' ' fz Ceme�teny. ` ' Uwenav�.2Ke�_ ind�.ana - .. . , � . ' ��-.. �,... .��Cemetery� . � " .,' . . _ ' . "Addmea - _ ,. - �. FuneralDirector �r�H,o2deic� Funoha�'H6me Inc �• Uu'_�o-n�.i-APo,_y�d,r'r,�� . - , , . _ . , ' naa�+e�� _ .. Date of burial �' . Deeembert :31�, :��1980 ' �� n�k,No' D2 1976- � � ge No. � 361. � _ � � . . �.w:� j.� _ � , Januan 2,,:7981-' �� . '.Date filed y �igned ( �� - . � ' � � . . �., Worrlck CountyyHeelth OHicer � . � � . � .. � , . ,� . ,� . . , . , . . : . . „ 7' - .. ... . . .,,�., . , , . .. (Seap . �' ; • . . , .. . . , . .. . , ± ., - ' °- � .... . . �� , � �3�