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Death Certificate - Broshears, Edith Mae_4/30/1973, , - .(. �. �� .� '� -- � . ' . � . �e a.i i_ .�. � ' � _ � " ' RECORD•�OF DEATH. � . - ?. y ?' •: ♦ ,- .` F , . . _ . .. : � .. � _' - -.`. � t� _ � ' ii � - � GIRSON COli\TY DEP�RTJIEVT�OF HEALTH . > y . T r � �� i . - � PRI\CETO\, 1\DI:1VA �� �~ . '."�t. t'_-' �.riR' , e. "'i ' . � .. . , �.1 .. . _ " . ' ^ . ._ . �t {V ..�3� ,.-...:.� . ' :. • �� , � ; . . ' . _' '_ . " '•. .. 1 TffiS IS'TO CERTIFY that our records sho�c EnITA AL4F BfiOSHEARS - I :` - died , , -n, ? . • _ : • . ; . ' , .. . -�r Y:3 . O . :.. _ . .- `• - , � Dec.. -� 3 °.' .� 1972 at?A.M-�_R�#]._ Psinc.et.on. IncL ` y � _ - . s , . m nt2� ? day - pear � t hour of death-� � - ' � � � ' $ i � - _,. ; street �hosp�tal� rural : � ;, -it ?1,-.. �f r .��.. t� ' � � � �' . _ � � i . � ) Y,. l ... .. . . . t Age at•Death_�-7�Se.�_F'ems1�-3Colo'r'� " [�hite; � 'Wldowed `s r. �; rs � ��'�. � ,.years ��-rite n�hethec marricd�or single„� ., � _ � Y_h-.�.r_ �� _ . • - . ' � .. �s!„ .i _�� . " . � � ` �y � • . � �`t :` - Con . heart failure' -. ., :'` . �; Pi�mary cause of .death given «�s ° 3�_ __ _ - - ,," � "; ' ,- , , . f r - � i � _(--u ' '� 3� i• 1.3 I ♦ F! � ' _ , � ' ' . . . ` . . t t � a s°:. _ ` � ..R.. G.�.: Geick '.N�.: F .,�Branch-�° � �i :" % �' Signed by � �— t r-Ind.f �:� - .'.�� �s ,� Ft: ' '.�.� _'�Phpsician or'coroner ... . . - . adddss- � - ' � - ��' ...5 {..-. �'-:: ...., : .' _, ar. �t .. � .' ,'�°' • '- �: � ..ay�_�. ',... .,�� . - Place of bunal oi removal � ' Wa�ut."A11LEt-. BTat�Ch } - Y f}'�: �' v- � .—fnd. ; . ; � ��name ot cemete�y �, address � � -. � ' - . �� , ., ' .. - . �� �� : . ' �... _ . � �, :-.s , .,.. '.`1%1%73 y `' Laib Funeral� Home �� .` Ft 3. nch" . nd: _ �;_z � :� _ -� `Date.of •burial� • , ' ' - � Funeral�Director � - ddr - ' : � ..- .r - . , k . ` ' ;SEAL r ; � .� Signed , — �%1�:' £ _ _ _ : '-. {.t s.,r �-i ` : ' % � � ` �.• ' _ Gibson Count}� Health Commissioner �� � i;-'- i,�- .._ . � � . � _'<� . , _ : _. 7 ; _ . , fr';� � y -- � i � . princeton,' Ind. '�� . 4/30/73. �� � � �' . .. �. _ � ` .. — - - � - � , -�- _ addiess , .. . � Date � ��_yi- � '��{ ' .t.... '�rr � '. :..' '`. ' ..si nf {' . I� Recorded locally in boo6 No � H-��age no -�4 'Filed: �/2/23 } . "�F. . � ��-�. f � � S t ✓ •! . � _� � 7 . J 1` � .1��� f . .. . i . �t ., ,-0.�� � ♦ iT .�—� ii �T.av: s. - � ; � `y � r � - � s� �t � .� � Ir.� � . . ..'y ..� . s � - � } �� .. i- .` e,:; . _ ' _, j _ .3 ' � . ��t-",• � t .r- �:. p Y .' _ Si... i.. �� -. � _ .� ' y i:'�'� . rj .y� �t_ . _ . _ . '��. � F i ii't '°?:i r .'�' S jh: ,' ,'_ .. . . . ;•' � .�, � �\ t.. �•� �� . . . t 1� � , � � y.x � .. _ .. . . � . �� ' _ — . ___ "— _ ____ "__" __�__�tY�� _._ —_ � b k ✓s—r�i� .. ` '�i _.�.` _ . . - r � -_ '�' .�2 � -�.:1.}I r�...�{i:. i.f. ..}.'['�f _ _ _ /�.�_, }y ._u_ � 1�..�. �� . r_ 2. .H �..r_ _ .R.Y`M!%: /SC-�. �.ii...!I