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Death Certificate - McClellan, Noah E_12/29/1979�; : I t � � e i � � , � _.�µ ' �„ _. :.- - ���-~" � � .-. � .� LOCAL CERTIFIED ' CITY-COUNTY DEPARTMENT OF HEALTH . • . RECORD OF DEATH Ci�y of Evamville—Vanderburgh;Councy *T� : � Evanfville, ludiaua��, Ir • � 11377 � �I t�oaH E. n�cL�,aM• � ----- .a��a i "I�hi; i: ro Certif��, that our records shnw---------------------------------------------------- I �EC. —16-----?9��----ac11c15 A.I?_-------'�=elborn_Baptist------------------- -------------- montA d�y y<nr h�ur of deech � � etree4 6mpit�l or rerd s N,dle , 'rih. Marricd :1;;e at dcadi-- �9- Sex-=-------- Culor----°�-°'---------------"---'----------------------- y.nr� � write�w�hether m�rried ot dnole - I , � ' � • . Acute myocardial infarction . - . Pnmar}� cause of death g�ven.�cas-----------------'----'---------------------------'-------------- �. � . � � - ' •� - _ . - . _ .. .. . r' � � . . . , i . --------------------------------------------------- .. ..� •� . ... - -- - - - -- - — -- — - -- ----------------- i` i. "r'at. � � GitV . �i_ned hc ---_ ---------------------------------------_- ------------------------------- nhy�irian XiCXilG�1Gd4 sddra . - Owensville ___Oc�ensvil?_e:_Ind.____ . _______ Placeot bunalor removal------------------------------- -- ------- n�me of cem�ten � � � �ddre� � �2-1?-67 Holder----------------Owensvilie�;Ind._ _ . n,�P �,r h�r��i =---------- ------------ ---------=--------= p Funner�I Dfrmtor . . addrs � , . -' _ � _ �a( i�. �J Rc�xr�c 1?�•�i. _ _ _ _ . , _ '., _ Si:ned ------------- ---- -------------------------Registrar. � � ,. - ._ -. - - ` ' _Evansville, Indiana ' 1?_29-75 ---- � ' [sE,��� _ � ------------------- 3� ds�� 235 � \n7r: Kecorded .localk in Book No. -------------- Page No. --------------• . � y'. FEE $2.00 �� � �: 5 ` 1