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Death Certificate - Arnold, William A_5/3/1974' � .. ' � . ' 1 � — . . . .:°• � : f ...,�.livw i�t^c � � , y' �� _ �� \3 S , � f ;'' � , `� + � � _ RECORD OF DEATH � = ` � � . . . --,.T ,. -' c+ ,/ 4 ''.. .. ' ' <. , _, ; i �. ' � GIBSOAT COUNTY DEPART\iENT•'OF;HEEiLTH E � � ; � c 's �`` �. . . ' � � • ,�.PRINCETON, INDIANA�_ - •� . 3 - -.. ' � �. ' ' . � �, . . . . .. � �� . j �. . � . .. ... _� . . .. . � . . . � _ . '�. . .: . . . .. .�t�� i.�''; � ` �.,' �. � . - THIS IS TO CERTIFY, that our records show "' «IIS,IpM—� --A�`SALB '". � died, ; i- Sept. 9, 1973 nt� 12:50P14 Glb_. Gen: Hosn�_ Erin�Pt�h� 7gr7 � �• � . month day • year . " . hour of death .. .. ` �street, hospital, rural - .�.' � - . ° . .'� . � ... ' ... . - .. . � �� .� �::_' ��'. � �. •, t:. ' Age at Denth 51 sex I;ale � Color_l�hite • niantal�Status ". • Fiarried ' { '.. ' ' : • S'enT� � ,' . .. . � � . �.- • - � � � ' " � . �' ?. . - write whether mnnied or emgis '.I � ' Primary cause of denth given wns1 , � VontriCUlar fibrillation '"�. ''' � j�i:: � - - _ . µ. -• �. .. _. -_ , . , _ . - �. , � ... .,. . :.{' � .. � , . . . .. ''•.` --' • ��.�: i S��t�j ��, - David Lindauer,� M.D. Prinoeton, Ind..' _� 4 , � • phyaician-or comner . ' ' . ! . : . ' addresa : ' . , . � . ; �;� �, , Place of burial or removal � Fairvlew,' ' Fiii � Princeton.. Ind. . r� � " •� � � � . name of cemetery � . � � . adAress� _ . - ` � � . ��. . ♦ . l �~_ . � . . . . • �.��.. . � . .��r�'�Y. 4 �.�_� . � • � . ; Date of`buria� 9•/1?/79 K ndai i �n rai Home• �� Princeton, Ind i . _ � Ftine^al Director. . —. . .. ..addresa ' : - r. : !�— S .. , � _ _ � 1 e r; ... } . . . ', , �� . f� 'e .;., • . ....F � ,' . . . . . . �. � .. .. tr , ; t� ; � � . ,� � . _SEAL t •r � j' ' ' Signed t ." -- v =� ,� '� � �� ` �r . � ''- .�'1 . _o-.. .•.,yGibaon Counry'iiealth'Commiesioner�. . i .i �• . . . .`i- �: . 1 . _ . „' - . .,. . _ . ;. _ . ,... � . �_ � . � Princeton,:�Ind: �� " .9/?�/73� ` �.�,, � � : . �i� � • , •. - . . . -. � - - -• •- � addmss . . , . . - •' ` ". - . . � . ' . . _ . � � . r ' date _'. Recorded locally in lwok No. ' 8 Page IQo: '__B�Filed: 9�24/79 : f i-:' �i i �`: j.�. ,� . , _ . � _ � . ` � . ♦ . Y 1 ' I, . 1j' . ^ • . . .fa I I 1 I a �. . t � � . �. .. � .. . . . . t , . . . �� ..S• T . , l : . . .. . . • r . � .. • . . t . . . . .. �� .