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Death Certificate - Smith, Ray_4/8/1976
�- ' : . , � [� . . p Certified Record of Death � CERTIFICATE OF DEA7'A � DEPARTMEII�T OF HF.ALTII CITY OF VIl\'CE\'NFS OR COiJNTY OF H.�OX S30 North Seven�h — Vincennes,lndi:ma .�' . N�F,+_ �a4 S�i-t�i age 68 �ceased on Ma.cch 19, l976 . ��x Ma�e Marital Status ewui.ed wi�(e -�o.eLotiee �si,th �ce lUhi.te Cause of Death Ae/+,te conyeatwe heaat tai,lu.se Cemetery �.�.O.i• Addre�� itanci.aco�Jndi.aaa Place of Death Goocl �aaati.tan I4oeP. Addres� Ui�cen.se��Kdiana Deceased the hour of: 5:�0 �.�• Burial Date: Mstch �2,1976 i �. _ � , ,_ • .. • � ... - .. .. .,. PhySician �aLt¢t fZ. UaNyh.s M•�J. Addresc Uusce.uua,9ndiartn Coroner Record Book I�To. �-ZS Page I�To. 27 Lzsued Match 26 /976 �,� � n. _�:_ ,�. alth Officer --- -- --� ----- ---------- -- - ------ -- — ---- - I