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Death Certificate - Bush, Floyd A_7/13/1976' :---��- • - ---- - - - - - RECORD OF DE_1TH � "'. • • GIBSi7N:COUNTY DEPAPT\IE\TT OF HEALTH' , , • �. � ° PRINCETON, I\DI_�1NA � THIS IS TO C�RTIFY, that our recui•ds sho�v • FLOYD 9. 3uS:i died : 7/6/76 -- - at 4Ai�� bJirth rioso. 0=iklandCity, Ind. month dap year hour of death �. • � street, hospital, rural . � �,ge at Denth �� ' See '"'' Color '_'h• \Ilrital Status t�iarrie�i years write whether married or single .. . Primai•5� cause of deatli giren �r�ns �n�nition c_ r?ebilttation Signed bc Ger31� Gra,y, _r,p Gatcland City, Ind. physician or wroner address Place of burinl or i•emo�-a1 i�7ontco�ner�• Os'•:lal,�l_S,.Ltv, Ip�i name of ceme.ery address Dnte of burial_ ��R�� Lamb-fied¢es ��emoriaT Chaoel Oaklan�7 Cit�, T.,� Ftiiieral Direcior address - �� ' - � / , �Gr-� �.��:L�-. � .�.;��.v SE:\L Sie ied_ � _ Gibson Countp Health Comm ssioner ,-� . �'i�r13n(j l;�tVr TY?(?. %�17�%� . � address date � II Eecorded locally in Uook ATo. ^--5� page A�o. 1� Filed: 7/17; 7.�i - -- ----------�------- ' , . -, : , . - --- - ,:,: _. -- — -- --- - -- - — - -- --- - - ,1 . .._ ..,.. _._ . ._. � _ _. .. . .-- .- -. � r�,�. -� .. -- -- . -- � .. . ..:. ... . . .::, , - . . . . . . - . . _ , _., 5 :;r.,;. : _ . . . . . � ` - . "� - .:. .