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Death Certificate - Dawson, Edna M_10/31/1973, s « ,�.{ - = � vr ..-e��r�zcr.��za :t f r �4.o^i rw.,*, . 4� �°� 1 -t �#i .>a. _t �.�_ . , ,'.. �' � -'�'k� 57� a t �µ . � l� ` ' . . • . . b {� � Y 9 • � � ��. ^ RECORD OF DEATH:�t ' , - �_ i.-, � : r , _ . ' , r- `" ! �' �` ' f � Y`s 'r ,« ,' " GIBSOIV COUNTY DEPARTMENT"OF HEALTH .°� � `j_ " �' ' . . � . '� - .- : �} -' - °� � - ' :PRIVCETON, I�IDI.aNA , . ,�' �;�� 3• �-- .:,�'s;_?;. ; . • s � . : -_� � . . � ..' . .. : i • '.` � � i• �`'i'- . � r - . �, � . • . ; ,f, ��� �. , •- TfiIS,ISj-T0.CERTIFY,.that our records sho�r `•� — L�-/_LL�-�B�r���* �=` died ,� - .' - . ;'. ' , ' ' ,I,.� /� //'��/_��1_-- J/� 9 t , �t }` '/i ..� ��•� � J �Si/f.a /�.1�^^—^�a :1' , � � y . j/ ._. $ �_—� s. � -� month :�� � • day _- ;year _ . i ' ..hour of death ' ',+� etreet, h p�tal ruial _��� _ j �.; _ � i.�/'•1. , i, ' � �. , � � ���.� �. Y- {�'v.� }<' i� ; t. : Age at Death �C�Sex��ea�a�Coloi• ��t�'L� �����. t <' r � r�,� - • � y�� . _. ' �. � . , . . ' � -, «�nte �. hether marned'or smgle , ; > '�' : , • p�. � � { '' . �.` � �. st � F r - � ...�/ . � � . j. i v t S �a �� � «, Pr�mary canse of death grven �cas---i��%� ,/Y�� �-�—�c e. � Q�� ' „. ' + . +r j 'l .� � `• � � <.-.tP4 ¢ ��i. i 3 �. . , . i �. � ' ' i . ��. �. x. � _ - � - ( . ' . . Sj • �_.�s �,.�.., s - . ._- �:��,__' �_ � � O ' � f� r � 1�. � . .Sl$'II2d bj' " -(4'� � ' �(,!!t� ✓ ' . � . � _ phy�ician or coron ..' ; � � .. .., _ address � �k�,� i.. � � � • <�, ...:'-, :. . _ - � n. ° . i�c �i � . Place lof burial or remov� —�a� " (/ � . ` ,; ' .. _ � , �. � . . t . , �,,. ame cemeteD .: ., , "., '' �addzess � ..' , S ,' " i � e. . ` ...i ... .. ... • p . �% y� . � ' .. Date of�burial�—��--ia.����yD �'" • a�"�A-t.rn���i..e� - �.:i � ' � � tineraC Dimctor / addr ss _�' � �_ - ' r � - . ..' � " . �_-J / ,,. . t:. _ - a ��j � � % _ � " �� � ' ' � ^ ti._ . (C� ,( / ,a � ��� tY_ ; � SEAL ' _ 5���'—�,� -� - I �'` . � u� - " ;.•,i.:- � ' - � Gibson Coun y- ealth Commissio�fer ' ;, �,.�;- .,. .t � .x � � .a= . �..Q -,' //n ..- �. +t,l,• . � /-,- /"�.�i ' � ' � � - - - � i � � - �Y�=-�`�^„�- . 4 �^�'" !o !� . u �+� �T_ ± , _ . ..:2 -address €- �. _,. -' i' �date' � 1 � �y . �..�:tF -..', . . . �' ?... ... . A. .�>. r ° .: . ,_ 'ti• i �o� f , • � , - Reeorded locally in book Ao.•,� � � PaQe No x : ,? ;f � # ; � . r. • . `cd ,�.: c .,, j �:.' F f) ..� "i +. i _ ; . ' . _ , ,. t � e 0+ - �iti 1':.i _ ' i. � _ i � - , _ � � .t ._ . I �__ _ _ —ti _�_.._ ! __�_v 5 �� _i� _ � ? •F�•It ` �,'+ . 1 ��� ; .s �