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Death Certificate - Maxey, Marie_7/26/1982
� I. . I• `� I. I:: fr. I T� I. ��: . � " r, : I. I '. � i' ' :' � � , s_ . �- -- \ �,- � ._ • :t: ,i-= .. ti: �:<-=iE,:=-UI�!:,- �;� ?i�°r��t,w-E�.Y„�:..; . . ... . .. - i .. . .i. . , . _ •-� � � rt�- . tlr '.to . ._ '•t . . =:r� . ... . . .. . . . . , . . . . . .f. . . '-a. . ,. . . .� i . . . . - t�; .i�l. ;t.t. i•i•. e.i7:I..iC:'t,^. }Y.Ap:: �L ' . �•: LOCAL'�CERTIFIED ;h-` CITY-COUNTY:DEPARTMENt• OF HEALTH _i;� ti{ � Itt w�. .� : RECORD OF DEATH 'j Ciry oE Bviu+vJle—Vnnderburah Couory ,��,; it� "��Q;�t �'3352 ,. . . .'. . . . Evan�v�lleJ Iudien� t�. =� ��j �i`.. �f` ... SI� � `' �. .. i, � - Ii.' �,.l� 'ri, ���i � � . .r. I, - %�i �- it�: _'r.r E� . ,yl} _lfi. .'��i ` '�• . � . . ..-, ... �.j `1���:.:-.. '�.« • �'�._. r:'... . s:'-c'if.'...• � .. r r �n : ii • �-,. .- . _. ' i : d ��1 .-• f"MARIE' M •_��7_A_�'�. td_-_ri i F! ~-`V=-- �-=--- died �•� Thi4 is m Cernfy,.that our records show __ _ _ a - - � , !� �is -- �,. . . . . •,- . �� : t�Y �!':27,: .':•; 197b. . ' 6.10 P:M t-Deaconess � s` �`��;�.- : . . -=-=-=-i---------=------ - - - ---------- ;--------- a�--- . , � , . . - monN . . .' dil . ' . )nr � 6onr of de�th ' � R�a't. ha�Dttal m nN - r� ��i. �• - �.� -' <� :. . �� �: � il!- -'i � � t � .r � -}£1 . i�� �I' . � � �:�74 y, Fe. Wh_ �F'-- ' �� Marnied ---------- A'ge at death-------� Sex---------- Color -=-- - ----- ------- -------- ------ ' " . ���.. . '� '. . wdt� �hethi manied�or.dn¢le�' ::. . .' . • . . .. _ ' '.� .'.. .— .:. ! I . .: . .. _ ' . . .. - '� � • "' '� ��' Nec=otiziri ' enterocolitis:'�-ila'rteiiosclero§is . Primary cause of death given was ----------� -- -- -- ----------- - .� � . . + . tt �� � � '.r.�.�.•..��.L..i:._'.b �� � �� �� �1. . . . . � . .,�. .,....��. � 1 ! If,.�li" •� obliterans°e ' 'F' r3 '+ ' '" � ,�. ... , ,. -----------,-, :r, � ----° � --------------- - °-]i��IIH1.St2------- ; i-__ i:> - - _ i ll-------------- . .,. . � . . . . . . , � � ' � ' � � ,•� • `. •�1SS � I, ,HQ.fII1hL1X9�.i . : �:� ' i C1tY !�c �� .a�� � � -- ..Signed�by'-=-=----`-- •--- -=- -- - - --- ----°°': - ' D�idav'.oq��Q ' � . � 4� - ii . . (li: . � �. �� �i . � , . , �' _ �p'. �, p.�� ��;i "r. ���.•a.:';�i:.•Duff;t�;2nd:`;ji_����'� ';� • �•.,.:. � „ . . . . .. = - - •. ;" -Place of burial'or removal .. - . . � .- = � __ �� -------°--- _"__'_" 'i _ . -.. .''` . � ' .� n�m� of eemefep . SFI (l `-.��i '��t ' ('1 (� W� Y Daee of buri�30 76 Kendall __; �- Princeton,.��In3._ � _______,__ ,„ -------- , i � ' Fonenl.Dlnetnr � k) `• �:� ��+'� �. "!: . . , C �� E. 'A/. �' q ;'� ,�1 {ji "� S��z c+t - zt' . Sied ------- ------ � =--'-- ...."-- ,--Re`g�atrar ! .� : t+t . �' •`'� Evansarille;,Indidnd . � � ' ..6�25-z5. _���I {'stE,�`_'':ISEAL] . . � daa ' �:1 `' Ii '.�� '+�i , . s. •�� c:. � � � .� i . , i' � 1' No.109 � -- 3�-- �� }t�~ �'..,.FfiE $2.00 A'OTEE Recorded I«ally in Dovl ?4. « ...,..<F _,�. .�C+ _ , ,:,i, � .r�:. . � .' .. �. ���..��..��'r��'y�i'''�I:'�'.��i!'•1��. . . .