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Death Certificate - Weitzel, Vera Maxine_3/5/1996
l� • � ' �+�����av�w� cov�t�v w�niTH ���������� 01527 ; RCOm 127 Admfnlstrarion Buildng • Civic Cente� Complex - One Nor;h,wesr h9artin Lurher I(ing Jr. Blvd. Evansvilte, lndiarte 47708-7B2g ��RTIFICti�� OF DEATH REGISTRATION ��� �r�af �es, THAT ACCORD�NO TO TME RECORQS OF THE HElL7H CEPAfi':�'EM �"'� �r.i..1 ?L•LYl*1E i�'EIYZ:I. o�EO W va�voEReuR�H couriTV ���„«� DECE*iBER 13 nneoFOearr{ 04:00 P.!i. ��n^�-�TnTUs -`�D g� PEMALF. �cE 75 ���up� �TEOFetaif+ • - �7l11/1917 puce ov o�n� ST.*SARl" S t�DICAL CENTER aq.:a.;. ca� :E cF o�;M sv� w;s RESPIRATORy FAZLURe-AC[TfB RESPIRATORY FA2LLTtE PHYSICIaN OR CARONER DaVID Sr. HoNARD, n.n. 7LACE OF BUAIAL OA qEh10Vl�L i.o.e.F. cs�r�i Fur.rEw� �arn� COL�Z\ Flft.'EF.AL HO!fE, PRIVCETON,I2F 47b70 CEflTIFICATE NUN�R OR V�Ll1ME GNO P1GF � � _ GU�Q2388 DAiE i$$� AIITOD$Y .�'o Y� 1°92 RACE h'HIT£ MNMEP Nq1'L`RAI. DISEASE DATE OF BVflw_ 12/1611992 03/04I1996 N0T VALIO VNLE59 SIGNED 6 9EAL� . $� '��r�7�� _ �,����,�,�,�— ZO' d ZZO' �N 6i: Gi 90. �� �-'!•� 6805-ZZb-Zi3� l3i S�'I s' 2