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Death Certificate - Billart, Lillie Florence_6/19/1972- __ ` . �..• —. � �� ,' 1 � .• � .' •l, • . . �. � �' y . . � .. �.� l_ : '� . . �. . . .. �_RECORD OF, DEATH�,.' ,. " i;... - - - ,� . _ . - � _ �- i - � � - GIBSO\',COU\TY DEPr1RT�IENT OF•HEALTH` -. - � - � � � �. -. -. 'ERI\�CETO\,.-�iNDIANA"-•'.'.' ' . - _ ' _ .. -. '' -i - � - - � . >� . .. THIS'IS� TO' CERTIFY, .that.oui � i•ecords shoH • � liILLIE' FLOAENCE � •BILLART+', � � �j�e� _` - �� -.- • ,. -.: -,. -. ,. ,. _ - - . , � ' � i ;': . , .. .��. .. ', -.�� - _, '1�5 �1'��? . .• at Q.��92ATr, r,Th�., Ge.n:'.._Hos�.:�i�.ticeton:-.Ind.. '_ _,".; � •,,, �' month_' _ .._ - , da} _� �_!. �_ }•ear_ _ � � , `• hour�of �death • •. - � - �� , �, street;�hospital,�rural� ` � . .. . . . . i._. ; ... , - :� . '� , .. , . . .. . 9ge at,Death� 80 • geY 'Female '-Color � =white_:- _ -Marri�ed� - '' - ' - ��ears::. . ',ncnte�«�hether�mamed or single �' ' ' � � . . . ' _ � +'�:.. . � , - Pnmary cause-'of�death:grven was ' 'HemoTZ'hage'�from"FSOphagggj`V�2'ices _ �' :�. •, - ,�: ,. - - � �:~ . ' = . - _ - - ! ,� - : _ . - ..- _� � - - - - Si ed b � «m R Uells, T+� �" ' Pr�nceton�=Ind. � ' Y - � - � � 3 — f�;" •"�'-'* - , �` physician �ar coroner � .. �' ' -- � ' a$dress - , , ' � ' � � � .�. - - . . - .• . �.�. . . .;� . Place of buriat or remova�' ' �Mpntgom`er,y; - � - . �kland CitY,' Ind � � . , name•of� cemeterv� • ! � - - addrees � - - • Date of 6urial•� '.5/17/72 .� S� Corn -Mortuary, -" " a d ��.1��. `�Tnd - . ._ . , _ . . : � � : ; Funeral•.Directot _ . . . . . .'.' � � ' ? - . - _ . ' _ � _ . . ... ddre � '. . .. r• . - . - . �: � .i - -SEAL ' ' S�gne . ' : . ' ' : _ , � _ �� ' . ' � . . ' � �._ � Gibson Counfy � ealth Co m�ss�oner' - � _�.'.. . , � . _ . . ; . ,_. _ ., ' . ; _ _ _ t _ ,Ind. � 6/14fj2 - .. r, '�Princeton. .. ._..� . . . ' .- , � ^. . . . . . -- address � � . � � : ,Date' �, � . -, f;': r ..... . . a'� ' . ' .' `"� . . ..: . . ..,' . _ . '. Recorded locally �n book=\�o.- ��R • •page. No. �—�g � = � - F'iled:�18/72 - __ - ' .�. �14� -.-_ . . , _ . .. . _ �� _ � i ;i )t . . i. '. "- . , .- .� - -. _ � 1 . - . 1.� �' . ' i � ' ' . .. _ . . � ' � _ ':' . . t�. ' . - . - i' . ��' 1 .. < < � � � .. ' .... . . : ' ' _., . ' . . . ... . .. .. . . . ' ' ' ' ' - _ . . ... ._ .. . �-.,� _. , _ �_.. .. :: ... _ .• '_ " ' ' .. � . . . .. _ . _ _ . _ _ . . ^ _ • °�_. . . . . _. . . . • . .. . .n . .. � ..