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Death Certificate - Cantrell, John Edward_4/1/1975I . .� I -. .. .. . . .. . . _ . .. ' ' ..4 I 1 . .r_ �11 . / ,' � . . �. .,` � �`"'(,t T ��Y 4M�. � .p. 7 ✓ ; i�.:-^�' �v . . . ?! a'�a�, a R � . RECORD OF'DEATH : : .�r; ,;.ii�„!' . . . � ,, , • , , . GIBSOV COUNTY DEPARTbiENT OF HEALTH ' � °="'' : � ' •" �. . . - ' � PRINCETOti. R�DIANA � . - �- i' _ � '.; ,:. . . . � . ._ ' � � . . _ . . ... ' . . - :� � � i. � i-' THIS IS�TO CERTIFl, that our records show'. .?n'-r?`T EDi•rqgn rp�,TmRELL ' A'M1 ". dic t .,_ •. . .. 7 : r _ . ati�:5��.r•.. Gihson:GPn uo'sp ar_nce� �i: OCt.CrPr 2i �9E% vz. . _ . - .�month , da>- . �•eaz hoiir of death •�� ';heet,*hospital, �mral .. .. � . , . . . . � � �. � ��- � . '; � Age at Death 'K7 Sex rn''° Color ;,rni�e [r�arr�e�" ' �:, ,_ , ' years . ' _ . - . ��'rite whether'• maa�ed. o%�sin`gle ,�, � � `�� «� �.'..' � � . . . . . . , ,, � ...� �. • . � Pr�marc•cause of death gicen was F�cute �:�.+ccarnial Tnfarc+iOn s �. t i, :i :_ .. � � � - . . � . . _ . � 3k: �1 . ;-.,�E,...'2 ;> C . . . . . . _ . .[.4" ' ^ _ �..Signedb} iliiam is_ n,s�;._;i r.a�ia,�-: r}t3•r--,n_.�A� `— ._ -- -- � . - -' ' , . physician �r coroner . - - address ;_; r ,.s , ',{ . . . , . . . . , _ . . . . _ ' . :�.r��r :.r. � � �a'ru.*_e ��'r.urch �em�t�ry.. princetori�; I^��iena'�'. `„ ' Place of�burial or remocal = - � � � � name of cemeten- . � addmss � �: t.a.: ' � �''' - . .:. .. � . . . i� ' , � ... ; , ' Y. � . -; •• • 1?_il_�j7 ('Orr.� ��r��.:ar�r Oal:l.a'd Cit' I tC112218 �••( 'Y Date of:burial ` – � � - - : : : : • Funeral Director /f a ess "-_�; .; '�� }; . . - . . . . . i . '�[/. �� ` � � . � SEAL • Fiied: ].G_:1_�7. Signe • / ;:: ; - ' . " Gib on � Count�. Heslth � Commissioner, s " . . ,,, _ j3;. : . • Prirceton, ?nd.iana: : . ".TO`_.31-67'r� "';< � , . . _ � � . , address - . . , . .- .;..� ,:.�. ... Dai � - � . - . . . . .. � _ , - . , . '.' - .z: - - :%:. ' Recorded locallv in book No.� ' Page• No. l�� -'�"' : 5-�";i' . . . . . . .. . ';', �1: • _ . � • - .. +' �:, . , ' ,:. �.. _ , - ,. •.f; . ' ' , � . , . . ` . , • . ::u. ,4�< . . . ' . . . . ' -Ia' "_ , oi� .�.�_ i�..__. _�. � . _. ._ ._ . i. . r _ y1ya� a.f. :l•��.:. _ • � _ . ... . .. . � ' ..�.. .•nW':� . ..