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Death Certificate - Byers, Mary Alice_10/18/1977.. , . . . _ . . . . .}:. s i . . _ . . . . .. - y � . . . . 1. . - . ' ' � . �. ��� , � r . . . . . ' " : . _ . ' L.:'r, . "�'' . • _ . . . i .:-.�. .. . _ RECORD OF DEATH �°� GIBSON COUNTY DEPARTb1ENT OF HEALTH � � '. � . - - � ' PBINCETON, INDIANA _ . ' THIS IS TO CERTIFY, that our records show_ ' /+RY AT T('F RvFpc died . - ?.0/2(Y.19?4� . . F,ZK�n,7 ra�,..��, v_':_ �-kl'-d _" ' -�� tii: -��• �,i ....3 . ' i']'jr - T' r3 . _ . i month dsy year hour of deafh street, hospital, ruial � , . � Age at Death - 76 �ex Fe • Color �• Tiarital Status ' � Wi do •� d' � Y� � write whether married or aingle �� � Primary cause of death given waa A�ute cardiac deficiencv coronarv Sigqed bY-- H._ A. Peters. D 0 Qakland �;ty, T„r� � � ' - ` . � physician or coroner " � � . • � � address � Place of burial or removal Mont�omery Oakl and('; ty, Tnr3 " name of cemetery � . ��BS ... � � _ . Date of burial 10�29�%� I,amb Hed�es Mamor� l('hane� 0 klan.���� '+' V_ F�neral Director .,. --- � address � . .. Ind. , SEAL ' . , U� G j '�j�i'�C G �=L�7 . � !r'�,Z' : ; �. � - Sign . . � ', ': :":� '' . � . . . . . � - :. �, T ( ' � � Gibaon County Health Co aioner �: � , " �, % � � Oakland CitY� Ind. 10/18/77 ''' . . • . . , . .. .. �1 ,.:,i;i � � . . � - � � � . eddress� � - � ' . date � . Recorded ]ocally in book No. ''H-51 ' page No. 57 �tiled: � 0�3��74. - A. ---- - — .---- -------- ----- ; ' : .. � . � �: . . - . ___ __ . . � V 1 � . �al'i•J .. . . ; ` . . . . . . � ' � � � .. .. .. . . ' . - . . . ' .. . . _ . 1 , . � . ... . . . . .., . . . . .. ��... . . . . '� - -.. ._' . t - . � . . ` _ � � ♦ ' • — •• �.. . � . . . . . . .. '(. .. � . , . _ .:_` .. . . . . . . . . .. .. ' . � ' . . . . . . . . _ ..__� _. _. . . ' .. . � � C S. . . . . .. a . . . . ..