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' <br />/^ <br />COUN <br />STATE OF IOWA, 02991 Vital Statistics <br />���. �� <br />v�u�o�uuFux.»�uu��^n �^� DEATH <br />`- NAME OF DECEASED -' _ ' �RN�8Z—�0DR ' ' .. Sex <br />~ <br />Date of Death June 22,-- Place of Death Cass County Memorial—Hospital <br />Date c6Birth or Age of Dc,,useU Date Filed <br />Cause of Death -- Cardiuc'arzhytbniu____ <br />ATteriosclerotic heart disease <br />I HEREBY CERTIFY that the above information was taken from the Record of Death on file in this <br />ita Recorded �n/Book 7- <br />officeAn accord2nce with the law of Iowa requiring fili g of ,y I records. <br />Co- ty R� * and Clerk of District Court. <br />' <br />By�—_---------- '---- ----' <br />Deputy Clerk <br />| | <br />| <br />| <br />