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Death Certificate - Avery, Lois L_4/9/1990, i ..: -.� Y` :.,.: _a:.•. ' f�� --v:.i � . ..._.. . i.,: �.ri%': . . . .. . ,_ .. . . .i;::$�bU�Tt`?.�.� . . .. _ _ _ . ...vn . " t �. � . ' . ' � !:II. • ' . • . ' �' � .. .... . , • _ . .. . . . .'rMriWr^i.sled'•ti.T.'.0 ... ' /:0.:. . .... ' . . . . . . .. . . ... ........... .. ..•.'.r.. : �..ti:��. ..e.. ..f.. i.�._.. . . . � _ . . . . ... . .... ... ,... . ' .. . 'a;' . , . . . . - . .. . .'n .. ._......._ . . - . . . � _' .'.:� ' RF�rn�iu nr nN.n�rn � . . . � . . - , :. . . � . �: . . I�.: .4 ,. ,'.-. . ' : �'.: . I CII�Sf)N COUN7'Y llI�.PAI:'Ci\il?N'C OI�' IIIsALTH �• .' I'IfINCI�:I'ON, INUTAN.\� . THIS JS TO CERTiFY, .that our records sho�+�...---------'-?;OIS I.._AVI:RY' .__ �:.�ied �" ,:. . . � ' . . �� . .:..,.. : . ._ .' �. . --11/21 80 ----_-Rt-- _ i:20i'A1 _.....__.._Gib._Uen..Hosp: Princeton, Ind::• . �� ' mondi day yeiir .�hour of dcalh � � xtreet, hospitul, .rurnl � . � Age at Death---- 65-.�_Se�._.---Fe•._:-.. _.:Colui. _:�dh•...11liu•itnl Statun-:_—_______ Married .�' - pears: . . . . . � .. : . . writa w•hether married or sioClc �' • ` Pi•imury ciwse of death gi��en w�s.::--'._.... ,_ Adenocarcinoma of liver '.:.... -. :_.....:. .'. .. ; - _:--......___._:. .. -- ---�-------- --� <: , . '� , .. . : .. . . . . . . ....... .. ,. . �•�.. : . Sl�nc�i by--- �Im:''R �PJel l , M.D: • �,'-- __- Yrincetop, •Tnd;' � -� �: ----- -- -- - . ... .. __.._.. _ ... _. . ..__ . _.. .._..^ ------- --- ..�....�_:.... - � , . � � . ,...,,........ or :,n��rn�_ . . ' .. - � _ -._anuress. ... �. . . . .. . . . . ... . ........ . ...• . _ : . . _ . � - ,. ..,.,>�,. . . . ._... . -' . -. _. . . . . �. . . , ` � ''iJal.nut Hill '.'' Ft.� Dranch� 'Ind: ': ' ` _ : .. Plnce of 4urial or remocal' ...--. .._:__._... ..... .;..........._......- -- ---------�..- ' , µ��,'�,`: �; �� .:� ' _ _ �. . ., � uame nf ccmelery' . � � . . , . .� - � uddrecs . —.—� .. - . ` 11/2!F/a0 3tod�;hi:i1 Ft. Eranch,. Ind. ... ... _ .._ , . . ... . ... � - Dute of burial--------._ -----....:_. ._-- - . -' - �--�--:-� - .�;� . .. .. �� ` Pui�cral I)irccl��r', . .•.'. ;. .,�..• . : oildroey — . ' . � .: SEAL . � . � . . . .. . n� .... .. ,. r` ° i `I'.'�y�: �� '� . l�i i�'� l,z� 12.;�.: N�/rzL ... Signed.:--- - � - . � � 'Gibsmi County Health Commiv_ ncr � � -' '` i: • _ _ `QaklandCity, Ind. 11/?5/80: . -.- uddreea �. . . � date � : _ . . _ :- � _ � . . . - _... . . . . . . � � � � � .. : �` 11/25/$� .. ...'. : Reeoi�ed lucnlly in bocdc Nn. .__,:_1� ... Pa��e No..__:'...`_:..> .f'il��d:----- --•--------•------.__.-- ----__ ' ; _ � , . . , � . .. .. . . . . - � . � � . . . . . . � �i .'-"-•_`-.._...�-_--. � �_—.__:.. " ... � . . ._ _�_-._ ' .. ..,. .. ., . �. . . -' -- '— •— --' . . . . .. _.--:.--- � . . . � . ' . � �� -- �� -- " � . ,.�� ,._..._.'-- ......:. :. ......... .. .....--'_..." � ... � . -��.'-