Death Certificate - Martin, Darold_8/11/2020 ;. •qY�`t.';.:;���i4tea�.S`®`+'®5.'®.a�5c�ti.�i'Ae '.'®.tica3tim�.c�`q�ti.'0i'..'a-?�c��Fsa',,...-;�'��.ks>.,77.!'L:1 S�`��.' ` bt—e��:'77-:ti.�2..'®.b��.�r.�'?.�'ee-;--'4:-e+�a% `r
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4 Room 127 Adrnin'stration Building CIviG Center Corr'iple-, OnesNorthwest Marfin Luther King Jr Blvd
E•vansville, ln'dmina 47708 1}8218
- CERTIrFitATE OF DEATHS REGISTRATION
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� THAT.ACCORDING TO THE RECORDS OF THE HEALTH..DEPARTMENT,
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- NAME. DARt1L.D J- 3`IART1N —
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DIED IN \/ANDERBUR:GH COUNTY'INDIANA.oN , 'iv�VEMBER 31 YEAR. 199b —
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a TIME OF DEATH OJ 30 P I`S. ' MARITAL STATUS -NI KKI.PD 1( - IBEX 'I' 'icric DE AGE F 8Q- RACE WRITE 1▪' '
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PLACE OF DEATH
PRIMARY CAUSE OF DEATH GIVEN WAS B ART DISEASE•:ACTJ`�E �YQCAR�IAL
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E PHYSICIAN OR CORO•NER ST '1'-ART 'SMITH '� D.- AUTOPSY rNO
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FUNERAL HOME "• �E � ASI3I ME�>`IOFTAI, C1PEI DATE OF BURIAL 11 ll5'/19:9b
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CERTIFICATENUMBER 1 {+ t
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