Death Certificate - McDaniels, Robert Graydon_11/8/2004�
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CEKITFICATE OF DF1iTH:
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624 BRQADWAY SI'REEt, VINCINNES INDIANA 47591:
This Certifies, that in the records of the Knox County Health Department:. :.
NAME OF DECEASID: F�SEKI' GRAYIXk1 McL)ANIIIS ➢ATE OF DEATH: October 23, " 1997
AGE: 78 SE7C: MALE MARITAL Sl'A"iUS: MARRIEo-MARY JO SNRGEON McDANIFIS
CAUSE OF DEATH: MYOCARDIAL INFARCI'ION. AGUCE HEA17C FAILURE.
PULMONARY ATELECI'ASIS AND PULMONARY SHUM'ING.
PLACE OF ➢ISPOSITION: WARNOCK CEEMEE"I'EE2Y, PRINCE"IC�N, INDL4NA
PLACE OF DFA'[�i: GOOD SAMARITAN HOSPITAL VINCEIVNES, INDIANA
HOUR OF DFATH: 9:53 PM BIJRIAL DATE: October 27, 1997
FUNERAL DIREC,"It�R-AD➢RFSS: COLVZN FUNERAL HOME, PRINCEI'ON, INDIANA
PHYSICIAN/CORQNER-AD�RFSS: DANIII. J fiER�R�tAN MD, VINCFNNFS, IYDIANA
BOOK NO.: CH-30 PAGE NO.: 79 � ISSUE DATE: November 17, �997
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I4JOX COUMY HEAI_'IH OFFICER: -
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