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Death Certificate - Wallace, Harry_6/10/2011
�iBSO\ COi\71` DEPAKr`iE\i OF HE.aLrH 8U0 S. rr:nce _°.�incetoil; india�ia 47670 Si2-38�-3831 �ECORD Or 7E:-`.TH TY,IS ?S TO CF.RT?�1.our recorrs shcx '3rr;- E��`a?lace Diei on ?ij2;/i98S at 5:31 F' Gibsc;� Generai �usp:tai 1SCP :�li?2iiid1l .rh'. P1':;iC2�Oli T_\' :ia@ d� [IBBt(7: _b �8:i: �J COIOT': il'i:1�Fr ?�d2'lini ST3t1IS: �Id.T".'1@CI �dUS@ Of �iP_dLtl: �l_OCdl'I�:d: !]?f8::='i7017. `_SS@P�131 !-��j�BrT'?]]Sicill. J1d7C�8S �72 ] l 1 : li 3 Sioned by: 3. ,_. Br:n;:, Sr., P.O. 4i0 \. `i.a:it Ji. �:iiiCBtOi] i\' .,-6-0 Yiacz o: unriai o� remc�al: _iets �:bert�- Dace o` i,;,�-ia:: ; 1/so/iS8a Fu�ierai Ho;�e: � �L-.L �-�'nTil;.atld :\• �6_? Colvil. runeral i-iome. i��c. 425 S. .`iain 'd._. `'I':I:CB �OP.. r'� G?n � u �p � JljllBi.� i)l"-__---_-y�„ `�'"':41'• ��� -__-__- G:�SOIl C011i1TV i-�@31�1 . COC6�6_35i�51]@1. _i_, 0�:,..an�� Ci�.. =,:dzana �cd��c-ss i2j:?/g`= ca�e h.-3COI'.�PC: :pi:n�i;- LC! DOU'n �:0. __ �?05 �'u. ,O C�i?V; t'Z�1_�+_�3Y�.