Death Certificate - Atkinson, Elza E_4/21/1975:
RECORD OF DEATH •
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GIBSOV COUNTY DEPART_14E\'T OF HEALTH ' `
PRINCETON. INDIAVA �
THIS IS TO CERTIFY, that oui• records sho�. "�?`1 ;• •STKI'tS�n� died
Jan. 2, ].9?� at 2:35F'�i �ood Samaritan '�rsr. ciom= Oakland City,'Ind
mon[h day year hour of death street, Iiospital, niral
Age at Death� SeY j''-' 1 e ca�o�• �,: h i t e �tarital
• years
Prima�y cause of death given
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Married���
write �chefher r�arried or single �
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Signed by. . n�•ra,-� r, Koor,?'• - n O�tcland Ci'-v Inci '
physician or coroner address -� - .
Place of burial or remo��al `'!flntR'llmp�-p �atrl anA r; t.� � rn.� .� F� - �
name of cemeterv address
Dateofburial ]./li/�5 LaT�o-Sedres f�:emorial Chapel Oaklann Citv, Ind.
Funeral Director address
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Gibson Countp Health Commissioner
Princeton, Ind. 1/16/�5
address date