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Death Certificate - Phillips, Clauda E_9/4/1979
;' i i� � . , _' ' _ . CF.RTIFICATE OF DEATfi ♦ • , Certified Remrd of Death DEi'.altTliENT OF IIEAGTfI . - ' f • ' - CTPY OF VL\CE�'NE,S OB COIT\TY OF HNOX �' " . 102 North Seventh — Vincennes,lndiana � � Name CCauda F l�hi,G�..r.na pge 6`� naceased on flw;:+n�� 2l , 14?4 Se,r Mr:Ca Marital StatucM.,�_ n'�.orL (fu; �0..4/:,.0 �Jh; l�i�,y xr,oe UJhi,:e ; Cause of Death Caadi.ac �eco,xnen.�n.ti,on w' n.an t('{, ., ,Fy;,.,, �'} •„ r Ccmetery riz. Diiue AddrPCC Mt. DG�,un�. 9ndiaru: PL1CC OI De3th!'OOd SQm('i�,t•LQK MO�n�1n.l pd�,,,,�� Ui.xce�;,xea, 9nd<:ann �eceased the hour of: NoZ .Sxuted g� Da�� R�eGw�z 2�t.1 q)q � ... L•� . � w:ET?J iaeCtO� C�O�t/• �+ i � I 4I � -�ud�'PC: !�2!r!C?rO•r+ .�I...�i e... Physician ,- Coroner yea,Ly f�l. klione.vs.tee� M,7 Add�c U+ncen;:v�� 9,u!'�� „3i Record Book No ('h-�6 Page No�_Lssued� A�tr,�yt ?0, ! 979 ' sEaL � . . ' � ) Cac�c� tvr�n•.� . . - . '-� � �iealth Offlcer ", ' � .i. _ . . .. . . . . . . . : ' . �- • .. . . ,r,,.,. . . . . . :_.__ ' ._ . . �.�� s�:� � . .. "' .'' - � � � _ . . _ .. _ - 0 y 0 A a � v e �