Death Certificate - Elliott, Carl W_7/1/2013 -IS11§11.idalitiALTC1113,METRECORDTOF(DEATilro-RIGItitifctOPYINTILCAT-THIStOUNTY'SIHEALTH;DEPARTMENV 0 1 9 6 7 2
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• 'ATTENTION ESTATE:The Saul ity r Ls
. Fob's:a:Ts:PhiA tasresposti'En;sgri.c&:;4:?z.‘iwer.;;:s INDIANA STATE DEPARTMENT OF HEALTH
, • • vet:iv:Italy and Mora wil ta no poney for talusal.
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Carl xV. Elliott AIale (.. 106:10 PM u March 13.2004
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Sharon Elliott 302 Mill Street P.O.Box 226,Hazleton,IN 47640 Wife
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Nark R Walter
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Daniel.1 Combs MDr702 Vigo St,Vincennes,IN 47591-
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\>x soHo6404 State Form 13110(R5/1-99)
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