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Death Certificate - Weiss, Clara Mae_11/2/1979� _ . .: . ... _ ...._.,.___ . --- - - -- - n - --- _._.______._,�......-�....- __ LOCAL CERTIFIED CITY-COUNTY DEPARTMENT OF HEALTH iIEC�RD �F DEATFi Ciiy o( Ev�mrill<—�'anJarburQ6 Couory N� 7313 Er�n�vill<, Indiao• • � � -- Clara Mae Weiss _________ died '1'liis is to Certify, that our records show------------------------------------------------ March 19 1977 ___2_e38 am Deaconess ------------------�------------------ °1--- - -------- --------------------------------- mumE d> >e�• Aour u( d.�i� •tm4 Eny1P1 w rar�i . A�t at death 46 __ g��emale__ �o�a� white married -- --'----- ---------------------------'-----------'------- ���� �rite w-hetAar m�rdW m dn�l� , cardiac arrest - acute myocardial " Pnmxry .nux uf deach givcn wae-------'-----'----'---°'-----'-------'-----"'--"'--"-'-'-"--" _infarction_-__arteriosclerotic heart_disease _ __________________________ Signed by ------------------------ �--L_ GG'IltJ�!---------- ----PO�'�NL��@--r'L�°---------- oenmw o. ro.e�.. .aa�. . St. Peter & Paul Haubstadt Iri Place of burial or removal--------------------------- -------------- �a� n�me o! wmeterf . 3-21-77 Wade Haubstadt In • U�tt nf burial _ . , .. . ------------= �� --------- -------- - Fun�rd Dlr4emr - . �i"'___'.1% Signed ��`��- ��--�-`-�- �- -----Registrar. - ----- -- ------------ _ Ea�ansz�ille, ndiuna 11-2-�9 � ... �� ' - ---------e.c• --------- ... - NU"1'F : Re.urded locally in Book No. ------ 42----- Pa�e No. ------ 56-----,..•�.�., �; ------'-----__ i � . ( "'_'_'__'__'_" � • l _ � � , . .. _ 1 Is�J FEE $2.00 e __a