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Death Certificate - Bammer, Della_6/12/1972►r : •; ; . _. . . � � ., ; �. RECORD OF. DEATH .. � .:�,.::.% u>:!� � -`i � _ . . . . . . - -. y. `� . , ' ci.sso�T.:cou�Ty n�.����T�tE�T:oF.xraLTx — ' . �` . =;YRINCF.TO\,°il\DIAVA . . . ,•.'i'HIS IS TO CERTIFY, that our. records sho��------ '''%L?'�± -''''''`''�}_R _''c • `• �' - � ''` `'"aied : � • _ - ---- - , , .- . ,.�.r .� t�arch�--, 26 1969 _at8:'1OP14.::F'�rest i,el��rsp,. Nome ,Princeton, Ind. _ � � :�,month ; day � , year .. � "4. -� c hour of death � . � street hospital rural � . . i... �r . �: . r . _. _. . . .. _ �S. �.� ���„ } : ��r .. ,�. • • ,�Age at Death' 77 •'Sex_ �'P�l�' Color �•a!h_te 19a'rried , ; ,,i ` . ,.,' . � . ..' , � • cears . . � � . . . ;�:: «-rite wheiher married or single . � ' - . • � � Primary cause of death given.«_as,P3Y�3t,�tsi�.�P+1_tt�ns' ______ �� .� '� '' ' . . . .�_ - 1' '; .. _ _. ' . I •;S�gned�by ' ' :im.' A. r,;ells, I•?D _ . �Fri_ncaton„ Ind.. . ,' ,— .- � r' ' "� � physician� or cm�oner '�'address � � , , Plaee of burial or removal , - = -���-��Z_1 - Pr.1*�?tDT'1,!=IL;1,_;' ' , � ` - �� �t: �� - . . . � � name�of.cemeter�� � . � . address . . . . � . . .. ' . ,Dateofburia�. z 6° _" ":Colvin F'_ .::r_ - `-Frinceton,'I`rid':' � ;_';' , `' � � - " � � 5 �Funeral Director �. � � � ddr �cs7 . � vi . r v _. � .SEAL'�" � �� ' . r ° .- `:' `. _i : Signed �`4���{w.t i...... � ` � - • -.. � GiLson County Health Commissioner � . • , � . • :=,�i:• . . . . .a . , , .� , ' �: - , "r r . , � f�' inceton Ind. 6/12/72 ' -- —� '-- • . ��-, - . . . . _ ` , - , � ., ... :ii.�: address , . Date " . �.• .: . . _ Reeorded locally in book� ATo:--'--'•�Page 1*0.-2?�� - —Filed:_ � 3'/?i3�Ss� � � � . ': , - -. . _ t�� , . .. . ; � .,