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Death Certificate - Caufield, Tillie_3/12/1958� • t . . � . .n .. _ ! � i � ' � _ ° �- � �!' nr. j .; ', . ' M+t ' . �' � _� O� ' ' - ' t- . . .iocaL " _ +�,, ,;_ � � "� - ;; '� ,, �RECORD�OFDEATH' t• � '' i� , ��, ` -+ ' - .�. _ ' ;': :,� `. ' � i ' -- CITY`DEPARTMF.NT'OF IIFAL,TII �,: . `� �. _. "'�'�� - =�PRI\:CETON,-I\DIANA -` '� �r =` - . _.. � •' " �� ��-,' . � -:.. � .1 . ':'�� �,. ,• . ' �:y, , ... t, w - . _ �4 :: 'P1111e Cau4leldt � ;° �, .n __ .: TIiIS'IS TO`CERTIFI; that our;'records'sho« -- __ • died, `� -: , � .. : : � e ._ r- 522�5.':Race St '� ` : ,c _. 1 ' ' 'Princeton I � -�'� JaIIUaP9 '�'14, _���'`.... °gt. 72r15A�M•'_ . IId�i"c�21a �-_,..; ���:.e � � � r 'month;_ � day �h ,.r � E _ ,year � � _: � tiour of death • �. � stceet ho�prtal' rural � 3 _� �. � - �� t . � �- •'i 1 � 1_ ` i — V t :'�� � .� r � � t,•J•'�' Age at Death 83 !-5e�F�ele . � Color ��hite � .Aidow� = ' : �i: } -" :`t y.. = -i� '� n3 . w`nte�a-hethermarned:or�mgle� ;I �} . +",:� .-.,. . ..y08rS '.�. � ..- , t . . ��..�%' �: k • �� 4 . 'l �♦ '�t -� +' �( . �: - . . a . :... �.+- � ..�. ,t.... i� � p-:. . .Primary cause of death:gi�en was } CereDral ft�oi�rhege - i -.},• " � _ , _'1-c;- � , ' _ , . ���: � r : t < < _ , , f;_�; � t_ ,. �.i� i` :C �• �f • ,t i � �`. i �.1� �'�. : '� � f _t , ._.. `! � .,1 �— t � �. . —'.�\ `R S �"cElymy� M�,D, � Prineeton Indi�ane �' � " � , � ' '' '�,� Signed b} � — a .- -�'. :'."-� - �pkiysician�orcoroner'i _ ' ••d_• � - � �'.address-,�5, �t`. _. •c. �,�'.�. ' Place of�burial�or remoyaLSt �Jeseph C�eteryl; r`Princeton, `Indiana�:;.? �� '„�.c . ._„ � ` �_ ; .." . �. �' " . ��' " � name'of �cemetery : '� s . `addre�s " -.4; L' � ._,% .' �. �_: . . " 4. . • F � � � . , � . . _ .. � .`, i � -.�, t � �r L. . ��� i :� � .r . ...� . � . ' y _ s t'�` , Date.of buiiaLl1 7 58 '= Colvin &�Son''- Prtne'nton,'-Inat na `"� '= � ` _ �" ' 1 . y . �# ,.' Euneral rirector i ` �„ - - ' � , �.' : - • . .'� � d ss ! t ��, a -t� r . . -...> .. ,� . _ . . •SEAL 4��,; ,� ,� ;�`r _Signed� S�SecY�i ,, -•C" .,� t _.. : ,��� _ .,� - • . � � iT ;� a� .�i 3� � S � � ��.. � _ i `-' , fx princeton, -Ind. ' +'�/5/58 ' - � . I � T} �' � ' < . . ': T� ,° � J . �' .: raddress� t �''' - -� � f- date � - �1'r ? � �.• `}« r ;� ,�,,,�: st. - i. ,. �ri . � Recoi•dedlocally in book No ���6 '°Paae No � 23� '' —,' a tii ,' '' ; r ^ .o. .i : ��-�..�.J� �I ,r {. ; i -f 1— �. t:. T .! - ,'. .} t � '�1. Ii ' �t <,-; t `' ' . i �r . 'ff� . ?' , ^p •�^... LF•:1�n .� ' . � ta . �� — �l t �� ;/a� � } .�.. � �� .{� '�� •)^ , . . . . .. � \� . .• .a � �. . . . .. • � � �i �T �. . � . . f . . � � t�. . . .. .. . ..