Death Certificate - Chandler, Emma_4/7/1975..« �� _t ._ ._ ._ . . ... _ . . . . . . .
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RECORD OF DE�1TH �
GIBSON COU?`TTY DEPART?1'I�NT OF I�PALTH
PRINCETO\', INDIANA . � �
THIS IS TO CERTIFY, that our'recoi•ds sho�c_— �'MJ�'�A CFiAjdj)bfiR died
OCt. 21. 19�at �M Forect Del N�g_,_$pmP Prtnr.etny Tn�
. month day year hour of death street, hospital, rur.�l , .
Age at Death �'j_Se�Ee. ' Color lJh. _niarital Status Wldowed
��ears - write u�hether married or single
Primary cause of death gicen was Cerebral vascular accident with rt. hemiplegia
Signed by ���.—t,�jg�-tgpl, r�_n,_ Prin�at�n� Ind.
phpsician or coroner „ address -
Place of burial or i•emoval I. 0.0. F. EaZleton � Ind.
� . name of cemetei� address •
Dateofburial 1��23/74 Colvin & Son Princeton_, Ind.
FS�neral Director address
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SEAL - � Si�ned �``I'U�i�Y�`i�/``X��''l� �
. � - Gibson County Healih Commi;sioner
Princeton, ••Ind. T� ' 4/�/'js
address
Recorded locally in kwok No. � Page No.-1�4 riled: 1�22/74
date