Death Certificate - McEllhiney, Charles E_6/13/1979•� a
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LOCAL CERTIFIED �CITY-COUNTY DEPARTMENT OF HEALTH . :
RECORD OF DEATH �''' � Ciq of Eraoeville—VanderburIIE Counq � ; Ao^�
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' Er�mvill�, Indim■ ',�.:. 1, O � ' - �( � �
This is to Ccztify, that our records show____ CHARLES_ E: _McELLHINEY ______________________ died
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mont6 dy >��r Aour of duth � �orwti haD��•� a+ �n1
Age at dwth---i$__ Sex__ �le _ Color�lite ----------------------Ma�;?��------------
)nn writr �hRher m�rtid er dn�N
P.�ma�y cause ot deach gi�en waa_ Cardiogenic _shock_Atherosclero�ic_heart dis ease
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Signedby --------'7'--a �- Qak------------------------------ --C]�tY---------------------
Dsnklan uOCMDQ7f Wdr� """'
St. Jose h Cemeter _ Princeton,Ind.
Ylace of burial or removaL------------------F?------------X- --------------------------
e�m� of e�mekn Wde�
4-28-79 Colvin _ Princeton',Znd. •
Date of burial-------------- - ---- -----------------------------------
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Signed ------------- �--�-5'--`--�-d"'__��----Registrat.
5-21-79 ssnt7
Evansville, In ' na ----------------------- �
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\'OTEi Recordcd laally in Book No.______44_____ Page No.____$5_______. F'EE $2.00
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