Death Certificate - Blythe, Thomas H_10/23/1970• �
RECORD OF DEaTH � `
GIBSO\T COUN'I'Y DEPARTIIE\TT OF HEALTH
PxivcETO�,i�nta� a
THIS IS TO CERTIFY, that our records sho�e THOMAS H.. BLYTFiE died
August 3 1960 at6t10PM �8R F�,_Bra�h. Ind.
month dap pear hour. of death � street, hospital, rural
:1ge at Death 82 Sex M9�18 Color Wh�e ' Marr1 nA
� years , n-rite'�vhether married or single
Primary cause of death given was Mv0692Yi1Z19—i[1 *h fn1
signecl by Ors111e�i. r,raveR�M.D.. �-ince.ton. �ad _
" °physician or�coroner . � -_ address -
Place of burial or removal Bly�h_8 Cha�eLCemeter�t Ft B2Bnrh� Ind
name of cemetery addre�s .
Date of
Fvneral Director
SEAL. _
l �
�'.
:�lrl��/��r�
Gibson County Health Commissioner
. ,,
� Princeton
' �� ' � address ate
Rec�ded locally in book,:No.—H—=�� Page ��o. 56 Ftiled: 8/6/b�
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