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Death Certificate - Mason, Arvis Jerry_8/28/1978,1 . , ' 1 ' ` t. �, _ . i ,• CERTIFICATE OF DEATII !' '�' • � ' ' � ::; � � . . _. DEPARThiENT OF iiEAI,TfI ':::i.: � � - �� . � - ' , CITY OF V�iCE\':r'ES OR COi7DTTY OF H1VOX •'� „ ' . .... • . �� . t�-. �l' " ' Certified ReCOrd ` ': ' ' ' 830 North Seventh — Vincennes,lndiana ' ' ' • � of I3eath . • �',; , � '. i`127i1P 4w.�iw �oww�i /ti%wn Ag2 s8 �'CCaSCd On n.,�__ � - ':� ,y t i .. . • .S2X �G12 j�jdl7�.S�H�lLS,'/Q�Gt�,E(� ��oJ/iw�Lwln _eea �ni�.rnw M1iawn>y�_j�gas ll�.• f° . �' � : '�'" . C2U520LD23th Mn,lnel.jlir �i`rrinwli��n�r��y,e '•� i� '�� 't' • "'--_ . _ - _. ' ' . ." ' _ _ ' ___ • :t'•- • Cemetery �ac�a< AdArocc /�2i.tceton� �ndinna ` ',7 i� � . ` ' M '��' Place of Dea Addmec Il:.,ca�aa� 9iadicra . .�? k • ` : n. ' �? ;a - Deceased the hour of� N�raraA ' Burial Date• �y 2n� � v�g , �3 ' . Fltneral Diirctorn�ll; .. ' _ � ^. a-4�u�aacLkaos •• Addrw�� tlolii,aac�.nr��6bweta �! : �'_ Physiaan � '' [�.: � Coroner .CoKie 0. Dnyeon M.�. Ada�� ' U�n�e.,.�- � r,9.,,l:,,.,� �•". — � � i' � � �' R,ernrd Book No_ !7��2 S 'page No . : sa � ; _- Lssued � ' ' - � ,• I�, • ' , ' , �SEAI,; •t-�l �� a � _j! ', � '�_°; �'-- lL+��1��[!M-�J ' , <� , :i. 4; ,,.:� i, 3� ., `�.'i'(',� •,:'_• th.OfHcer _ � . . .F: . � I;.^ �� ''. ..'; �; '.�li f�^' 4 i -� � :i: ,:i' .. �•j"�•_i � e .y . ' .1 t . .I. � - : �� ,.t � �t... f. t� ! .� � . ti ^•j� 1�:� ... � . ' _.. i .1� �o � 1 t 1� .. � � i . t �� '.._.�� i� F1 � ��i �} � ( .�� 1 .. S ; : . ' :1 ��._ _ v , � _f.'_?��'�"' 4i .,.51__..,:. _ _..:__�.�.._ .�_.:! �_.'�....�.J_..6.. iii..c��-..�:.::.::...� ...-1�.�-:"� ..._ �...... �Y -t__«e; X � �, _, , a • .' i: ' �.� . ��_. ' . . ' ... . .. . - : � � a. .1 r S\ �� ti � i� �� ` A y i! �