Death Certificate - Lytle, Gary D_1/19/2012CERTIFICATE OF DEATH
EDR No ������2246.5.�] State No
LYTLE
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2643 SOUTH 850 EAST ROAD
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HIGH SCHOOL GRADUATE OR GED
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28. Wa Caana ContdCtOC? I]. Name MO ComplN! AOEress Of Funcdl Fatliry
� Y� �� LAMB BASHAM MEMORIAL CHAPEL, INC., 226 E. WASHINGTON STREET, OAKLAND CITY,
❑Yes �NO
�ause v� uea�n 'OB81115III1R10R5 FM CliTp183I Apprmimate
28. Pzr, I. En;x The Chein Of Evenis - Diseaza. Inj�nes. Or Camptiwtiwa - That Direoty CauseE T�e Oeas. Do Not Enter TemJnal Evmb In:srdl: O(ttet
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A Line. AOE AtlOi�inal Lines tt Necessary.
Ir.u:iWia:e Cause (Final Diseaze Ot Cdfd'ition fte5tA5rg In DxaN) A. METASTATIC CANGER OF THE PANCREAS WfiH ABDOMINAL METASTASE$ 1 YEAFt
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Line A. Em,u Ttie UrWahPng Cause (Daease Or Injury Ttut Irvtiated �'� ��
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IN 47713
Cert�c
Form 53395 q7TEMqN ESTATE: The Sodal Seanry C is be�g repueste0 Ey ttis siste agezy in orCer to pursue responsldGry. Di.atlosure is vdunury antl Nere will Ea ro
NRA-20
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