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Death Certificate - Mobley, Madison Larue_9/7/1979� LOCAL CERTIFIED � CITY-COUNTY DEPARTMENT OF,.HE�H RECORD OF DEATH c��y of Evamville—Vaoderhurah Counry • �j p . - • - .� Evaneville, lndiaoa ' ` • �i^ 4739 E�� I 0 � MADISON LARUE MOBLEY ______________ died This is tu Certiiy, that our records show___________________________________ AUG. 7 1979 at 9AM Welborn------------------- -------------------------------- ----------------------------- montL dq Yor haur of deeth rtreet. hmpital or mrd Ase a� dcach__63 ___ Sex___Male_ �olor_ White _____________Married___________________ ----------- � ��n � � � . � wn[e wbelher msrried'er'rint�e � � Jli � Prima�g caux af deach giyen was Peptic_ ulcer–Presenile_ co_r_tical_ atrophy____________ � . .. '--°— — `-- — -- • --- - — __ _ . (Alzheimer Disease) ---------------------------------- ----- ---=------------------------------------- �:. .,, • � Sigr,cd b W. Grimm --City----------------------- y----------------------------------------------- we.m. ' . Dh9�iei�n ➢{�g(oner : Place of burial or removal_____Maumee _Cemetery ___________ Owensyille��nd ______________ . - � '. oame o( <emeter9 . • "-'__' � . �ddrs� Dare of burial8_=_4 =Z9-_-_-- ----;-I3oldex_Fut�esa�_E3ome._ �D+e+P�=�zi11e.1-nd-------- . . :. j.._ ' � ' " -FmeraLDlreeWr �. ��i addrm Signrd �_'��-- ��=��-------Registrar. --------- Evansville, iana e-ls-�9 __ tsEA`� o _"__ t_'_'_dete _"_'__ I . ` . I o NOTE: Recorded localfy in Book No. ____-----44-- Page No. ____ _________. FEE $2.00 i�o�ue�aeo�oe�au�woeeoeuwooueuwutunuu�euue�uowu� - - — — - -- � — - , . ., -^^,_ _ � . . , :....; : .,_ . . :... � : :. - . . ..•. - ' . .. • .:•- , . ( �,- . , -,-: , . -� 1. . , �. • .