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Death Certificate - Tenbarge, Helen_6/14/1999STILWELL LAW OFFICE RECORD OF DEATH ID�81238664E0 • A?R 13'99 � GISSON COUh'TY DEPAR'I'�fENT OF TiEALTH PRIIQCE"fOTi, I�DIANA THIS TS TO CERTIFl, tliat our records shOw 9�58 N�.u04 P.02 ti,7.�4" ' '— � ~ � / (O Q &t A • 6 � 1 � f �1 \ . �{ �(�fYY,iN � !�"_Yj'�. � month day ycur hour of doath aU�eet, hosp l, rutal age nt Denth�T ._.5ea��yvt� Color_.L�'"f3-�-C�-- �-t ' y�� � . carlta wLethar marricd or e!ngle Primsry cause of death given was�A��""'� J' D�`�'�`��"']'+'L�V'-�"µ'�'a Signed by�� Piace of buria] or D1te of buriaLa� � � �'s�'a,i,` �, phyeician o�seeener —iir� mme of eeme'.ery i % ► �, _.� i�' _i __��ar / , ,' r :.._ _..�.�_:.r � ...s.; �,� ., 0 r� �� � 1 Glbeon Co�f(ty Health Com(rJeslone: � f � /� �/ � ,. ' � , .. � ( 1 "�i-i—�_p-t�4t-s� fi#`'v '� '�— i�%`" ���'�n'Y'- : address � date �� t.�. -� ' : - Recorded�7ocaIly. in book ?�o.�'��!—Pege No: � � �'��,� .:._..,.,,_...._..-...._...__.....:........._:.__.,...,_.....__.-- ...........__...._.............. ._ _... . . 04-13-99 10�04 RECEIVED FROM:8123866480 P•02