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Death Certificate - Beloat, Owen_3/29/1977/.. . . _ .. ! �t�cosn or nr,a2ii � r -•-- ------------------ _. - . , _.�. �. -- : , GIPSO\ COli\�'i'Y DliP�11i'1'1ll�:N'I' OF IIE�ILTII '•' YRI\'CliTO\�, 1\UIdNd . , � - � � THIS IS 'f0 C�P17FY, ihat oar records sho��° 0'JEI�! Br LOl�3' � ' died 3/25/19_77 at 6:3oQn: ��orest-Del Nrsg. Home_..Princeton, Ind. A, month da}� }�car hour of dcatki._"�_�' _ _ _ =trcet, ho=pital, rural - � � -- � :1ge at Deatli �2 ce� t,ale � Color'�hite �Iai•i'tal Sia'tus ��lidoived , cears ' . _ .. . _ . . . . _ � ��Tite n-hether married or single � ' i . . :.;'i" . . i Pz•imar}- causc of dcatli given >eas Uremia ,;. , . _ _ . . ,- • . , � . � S�en�d �y Bruce Brink, D.O. Princeton, Ind. i , ' , , .. Pltc�ician or coruner . . address ' .' . . . - Place of bui•ial m• i•emo�nl I•�•O.P. Princeton, Ind. ' � name of cemetery . .,i.. ,• .a., ..address - � . . . . t. . . , , • �� . : � � ` . . Date of bm•ial 3�27�7� Colvin &��Son Princeton, Ir.d. � � ' _ ' htineral Diicetor _ - � addrecs . .. � . .�: .. . . - .- � ., ' „ � .. � .. . . . � � • � . � �� r� . . . '.' ' - . . . ,1j . ., . � f e / / ) // � I SE_�L - C/c/ G�! Ct,L�'i G. ��a'�c !�',Q �'' ' � � Signecl - � . . , � �.- ,' Gi6son Eovht}- Health Comm" oner � • - , _ Oakl?nd City, Ind. 3/z$%�� ' I� address date P.ecorded locally in book No. � Page No.— 39 1?iled: 3�28�!7 .