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Death Certificate - Mauck, Clare Montgomery_4/8/1983�Ol'L1. I �I l NV4f(11 �,+ occue[o-.+.�. ...a� i•,...... , ..., .,.��a..; % �I M1 • G4� n�s* lUCI1�IpNO�OUTM ICIp.VYl�wwla�n�nyl Rocheeter s�erwr��[[ o..�.« r,,.y, ce�.�..i � c Indlans r-. Ow.r�e �w In u ��.mr 1]. LOCIAL iFCUR � maw U��4 �� r FH Yee . 1�[ Cli�. VIII�G[ 01� IOWNSHI� 19y In�b�Ca�W .� 1�.�.u.5swn . Gibson Ovena�ille A •ES p»n �Oe.einiwucr�5unw� ••v� ���ODM[SSOfDECEOENT Sn«�...eNU�e� �evO���a• Iadiene `°"""" � 107 E. Nalnu[, Boz 217, Owena�ille, Il9 47665 �eel����.r�nC� R�.�.o.� •. w IMfORM�Ni- rv�u� '�aa.a . Indlana'�""'�� � Neyo Clinic Records, Rochester, Mioneaota 11 n�u onb on� �n.r n. nn� ��1. IH� �nn ICI I • �� p�nnmp: 5 Of s( Rw� O •oo.o..m� �� Cn.� Pn. D�r..onpnrr...nU.nn Intracerebral hemorrhege 3 days • - --��-+-.cn_s. . � I� `o.sreo.��.o. Extensive cerebrnl oeriuslon a 1? dera C UV! iU.O� �S • ,:o...ro,....cem Carotid endarterectomy 12 de�a _ ��Pfll-OTNlPfIGNIFICANICONDITION3 � ]��AUTOISY )�e.0 .�...ei.pao Q SO �C✓M �n O�1vm� �n� [��y e� F ❑�ES��+O O�In I]]•4CLIDENI�WICIDE,NOM1[IDEOMUNDFI(RMINE� )]Efl�l!(IIIN)U�i• Nu n�v •��� I�OUr '1]�IN)UN�IIWORRSI��ci���� N U '� ° �I (l1�fRRlO ° tn�. eo. �- na rucc u. ��.mn. i.. �em.. ���... Sv..�. s.�.o... o��... eme ��. i �i.. i oc. no.. sn»� o. wr o......,e., o�r. v.n.w e• *o�.a.o Ge..�.. 5..�. a u � n� ..�.w.�ni�w. o<cune[o ie.n. H.��.. e� � �... �.. ..� � o....� . u....>m — . a u O 1HCEF�1liCI.l10N-MV$�G�/O�o.D�.��v ��,, ,o,•J,,,, ]b�ERTIiICATIOM-MFOIC4LE%AMIHERONCOAONER � 1 nlrn�fw] �M W[��W 46n �� O m J'.L.LLL.�4L.I+n o� �n. p�v� oi m<<.�m��na� a� me �nar ��lo. mr ��w o 4'%22 D '». . o.,r.,..,,m.a.�.,�.,�..�•, �.i ..» n4.npw..�.�io� i�_ � mn. aia m�i .b.. iir non. .h., aeun «a...n u ra o„ me e,u o.e eee m m. aw.n un.n .eow �ne d.c.e.m pr�m waen�u n � M�I IM pl�� �M lim� wN On IM Mv ��UM �pow �M In � ponoyncM O�M pn 4e D�• ^' .1 M [nt [r�1 c! m� l rq��l QN 10 IM s�t� 1�. MVG N Gra�TU � ]Ja MEOIC�I fk�MINER Mi CONOMER - LGV��yAE )� �IM1SIC114 � N�M( IT�q �i �rpll _ — }ll. � H. I.. Mose�, M.D. $1� M�IIIHG �40%�CSS ��Yn[�N, V�ON�1 C.�minw b CO•on�� in/For the lieyo Clinic, Rochester, Hinneso[a ;�. }I1111�1 f.Afu�tl(�:�.�cY(�V�� I:FY[TLNY.f)C(.PiVAtnllv y• _ _ - Saw.r♦ . • u• _ tinnnvni/P•+-' Owensville Ccrcr_terv :sa o�ie D� s�����,C�toe�tiow ts�.iWIER�Lr+OM( - Hn... �k4Ol'�� 40 D�� �'W I:crnval/04/23/BO t'ine Funcral Ilonc iG. w.e rq[O B. ta?i [emwnn 7!e� /IOC�I REGISTP�R - S�p�n�.. ,�J 4� _ o —�n //_ . °_1 %7f i� . I /I�.! 55901 �_nC�nRv N�N�4f IiYMa�Irrnll I l]n D�lf S�GNfO April 23, 19&0 �pr�.i . _ .-.i. --. ' - '� 15! �UHfA�L nOMf - 4.'.R-3r�i Pvr.. N MONIICIP:I( /� �� i,[ -4 � � 5.��., Pnchester, 'tinnesnta lyecioe - s� ,..�,... c.� .,._� '?`, ; >- � � 0 � � Z u VI C �7 m n .�-1 .� I V � 4 .1 W � � S 1W 6 i � a 0 J ( a � 4