Death Certificate - Blume, Charles R_6/7/2017 sr`
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�LNo 000665\irl eDR;No,000000569.1.15tC\ state;No;01,6490t. O
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JAMES BLUME'� .1LFC'd ti 4 SON:. . a 10352'SOUTH^150 ROAD.EAST;HAUBSTADT:INA7639\ '. I
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i. STEVEN,RAYTURNER -BY SELECTRONICISIGNATURE``9.4.1W 1� ,1 lt. .��II r®'cetuMng Po-is,oanA lO Caen"ner`r.'llIO:'Hearn oxen. 1
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g STEVEN RAYTURNER. 415.WEST,COLUMBIA'STREET`EVANSVILLE, IN.47U0.1lt Mi�illtl(16 01056366A1t11i A InIc04/0 3/20 1 71A \I
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(, ROBERTcKENNETH SPEAR,'.VIA ELECTRONIC.SIGNATURE IIIIM .,!V,. 1 D1ii\ (IS✓/�1\I\II I�...-, AP.R 03'201Zt� " ^ai£1_I dII
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%State Fenn 53395 ATTENTION ESTATE:The So ial Security#is Singrequestetl by this state egertry u,ceder to puFiue�eaponsiatty Dlsclosuie is vakmtary aid?bore wilt beig pena.ryta retusaL ,,,1 \1•-% ���Illn 7/L/� Itl\p i/ t u1 ii 1 u,.n _ri_.,, t '__iu.r , tt ri _,nt i t u I /;auu 1 i 11 N BACK"f_III
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ay,�i:1WNR N I N G:TURNS F�ROOM ORMANGE TO YE OW.WHEN RUBBED.ORIIG NAL DOCUMENT HAS A HIDDEN VOID ON RONT THAT'APPEARSOWHEN HOTOCOPIED�� ' ✓ 1