Death Certificate - McReynolds, Elby L_12/18/1979� ./g,,,,_.r� � .� _ � :
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POSEY COUNTY BOARD OF HEALTH
Mouat Veraoa, Indiaaa
CERTIF'ICATE OF DEATH
This Certifies, that according to the records of the Posey County Health Department
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Date of Death Oc1{ohar-17� 79:.9 yj ?,ii�inn ni��-�;�g N�mA r,�ni-F++ana� Tn��ar.a
(MOnN) (DV) (Yev) . (Stx�et. hwDit�i �or +m+l)
' MARBiED. NEVER 7dARRlED.
WmOWID, DIVORCID (9wc1f�)
Immediate cause of death Cardiac Insufficienc
ACE (in ➢e�xa)
Certified by p�ul R. 8oran_ Pl. D. Pncwy��i 11 a_ T...1; �..a
(PHYffiCIAN OH COHONP1t) (ADDSS88) . .
Place of burial or removal �'�auch Cemeterv Oa�ans��i 11 e. Indi an�
(CE�PEBY) (ADDHF38) . .
Date of burial� �' October 19, 1962 �eral Directar Paul R. Holder
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Record was filed �not shown on record) B�kNo.
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Issued on Denamhwr 73� �9�_
Form DPC
:ACAL
h-11
No. 69
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R POS3Y COiJ_.rTY
REGISTRAR OF VITAL