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Death Certificate - Smith, Maxwell_4/2/1975� __ .__ _ . . _ . _ _ _ _ .�._ I;I:i (�I;i� (1P I1}; 1'I'FI t,IL'���\ Cllti\T]' Dl;l':V:'I'D11:N'I' OF III�;AI:I'll riiixc�•°ro�, ��ui:��:� I'iIC-: I:�; 'f�i �:h:ICI'll�l', �.Ir.�i. ��iu r�:c,�nL; sl���,�� SH5'Rt�J1N NAX4IELL, St�IT?? ------ ---.__ di��d ,��•i. 1";, 1!i�,7 �i ;�?�AM �mpe Packlnp Co. f't. Rrqnch, Ind. .�....'ii ,I�r , :�r Ir�nr ��I' ,I�.:illi ::Ir.,i�l. L��::��iLd. riu':il .,�, f,,;�t.h 5' Sc:: ?!�le GJ��r--'�JY:ite \I:u'ital SL•dus-, Married --- ' �.::r:, �vrile �chether marricd or >in,ie :+.�i�::r�" �-�iu:^ �,( deatii �i-,en �cas---�OCa2d131 1t�faTCtlOn r„ ;o1rY, N.D. Ft. Ai'anch, Ind. . -..;� �,.. . -- – ------ -- — � pi�;:>;rian nr a�rouer address 1��;_, : ��: :,��� i:�l „t• rc.,,r:��:,:! _ . !'lark _ RP. ___ Owens�ille , Ind . — ir: me oi ccmeten� address �,,;,,�;� �,i,,.;,,� 11/15/�i' _ Holder Funeral Home Owensville, Ind. 1'uncr:il I)irectur addre;s �� I;,,crn�,!�:,1 ln�:;ilic in Ix,�,l: �:��. -=-5a % ) � I /% I�', %('�: i f� . ' ' �F:( �. ,_�,.;i-'t:.! ., �- (' . tii;;m�:l .. - I;iLson C�wnl.y Ilr:illh Cannni=sionrr –_- Frlrrcet_on,_Ind. _ 3/13/95- -- address � � da:c i�:�;;�. �;��. 99 r�!��i: . 11/14/67 5. ��