Death Certificate - Martin, Charles Willard_6/9/2002�
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ATTENTION ESTATE: Disclosure of Ne • • � i .: / � - ., �' : ; � -,`1 �' � \
SS# we need to pursue our respons1611iUes �
eis�altaryandtherewiil6enopenaltyfor INDIANA STATE DEPARTMENT OF HEALTH '� '1'��'`rl
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THE RECORDS IN THIS SERIES ARE CONFIOENTIAL PER IC 16-1, 19�]
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�N Charles Willard Martin Male 6:55 AM November 10, 2003
PERMANENT
87 ctober10,1916 Indiana
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