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Death Certificate - Bottoms, Floyd Edward_4/12/1978
. � �`_ � � `� • - - -- -- - -.;- - . - - - -- -� - -- -- - - . ` - - tECORD-OF DEaTH ' . , __ . : • � ,. � ' ;� GIBSOiv.:COliVTY D�P�1RTlIENT OF HEALTH � �''•," ' ,.:�,.7'. "'.it�• PRINCETO\, INDI�?�A . ' � � .. � � . ,. ', . .. , , . , „ � •�' �.i.:�.o: tE.� •. .. .� . ,, .' ; ', � ;� :•' .. '•� '.�:��.� .� N... . CHIS IS �TO CERTIFY, tl�a6'our records show � ___�ELOYIZ�P4J�'1$p�0'I`'�'Oi�!S , • •• died • ' �'. . - � — . . April ��'15 ,� ; 1972 _afll:30P1^. Gib. �en. Hosp. Princeton, Ind:.: , . � -, month' �",' " �' 'day . ' ' ,_ year . hour of death • + street, hospital, rural . � � . , � � . , i.� • . � � , . . , . ,ge at:Death�^ �2 �Sei�:ale,T__Color�rar,�t�_' _r:k3xriPd � . - • �5��:�. � ' .. � �rrite «•hether married•or sing!e. : � ' � .. ,. � . �. - � � . , - ; �. ... � 'rimary:cadse,of�death',gi'ven'\va's—�COr�est�ve heaTt failure � - : • � � • ',.� - � '. ligned b}- ' . . •4711 l iam..�:r,_p�_ r�. --- Qa'x13nd _C_ity_, ��-r.d. _ � , . . ._ . • physician or coroner � � address , - 'lace of burial or removal � :�omeTVille_____ SomeTVllle_�nd. � ' name of cemeterq addre;s . . � late of. burial . 4/18�72 Cpr�_MorUiA„y--- Oaklan City_, Ind. _ � � � � '- �. Funeral Director addy�s � � � . ,. . . � K� �= , '� SEAL';'. �.:�.� ,' ' . Signed_ . _ �[%� ' ' , �, � �� � � ��: -. , Gibson Count}- ealth Commi�sioner ' � . • . ;.: � .. .. • . - . . . ��•' Princeton, Ind. 4/20/72,'� �- , ' - , ' . '� , address Date � :ecoi'ded locall�� in�book No.-�—_ ! Page I�TO._ �A Filed:_ ��/20/�?_ , . � .. �i