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Death Certificate - Deffendall, Ertie Dye_5/5/1962
Y ,. , .. . .. _ . � '. . � ± - { - " � v - , . � LOCAL . -- .. .. � - - ` _ � . . � . - ... � , �. RECORD�OF DEATH ' = � � ��- � _ . � _ - _ _ , � . . �• . : . . . '+.; �� �_,-. � � � �T '*�:. � �� .,, - - - . � . �GIBSON .COUNTY'D�P�PTMENT�OE HEALTH : • - ... ' �. ' ' . _ � ' -� �YRIA'CCTOV.�INDIA?�A:.' . . - ., _ � - . :. . '� . _ �. . • TFIIS IS TO GERTIFY that.our vecord, show ..�i� .l.U'�..L�.Fi �.�Gd��,li(r.4�L4XrG. - died� - :'. '. _��� � � .. // -.� � + ._ � . - ,�'�.�� .,. .:7 � ../9,�� ats.:��P.�;:.��..�,:.�:.rn.Q.�..�.�,� � _ _ onth � _ �day - �.year �_, hour�of death , stree{,�hospital rural - �� �_ . _� - � - . . .. . -- ' . . - - -. . - - . , . , - . . ._.-� . p' , ���� � �. � yt� � . � � Age-at death .�Q... ��:: Color liU74.(.LCe: .. (! /...... . .... �..: .. � � - .. � ;. �_ - . _� „ ; � �years . - ', . - � -� � . ��- - ,�-write c:hether married or single�- , � � . , . . . . � . _ . . � t � � . . . .. . ` -. Primary cause of� d'eath given .was - � � ... . . .... ... _ �4�!-�- f � 44...V.rf.L . .... . .... � . • -° � . �. ' .....- . '3� � �i - ' � ' ..�-:. *.:.� - '.. '_, ....:. _ P� _ - ,f•� _ , _ , �� - � � signea. tiy.%�!...... �.� ��... .: .. � :....:.. . .. .::..rn � :,... �i£..u,�. .u. �rl�s.r,, :.�,..: � � . �. . � • � - �� ph ian or� coroner. � � � address. � . ".' � � •. _ •-- ..-..,' . . ...._: : . .. -. �- �, ,� ._- r Place of�burial er-�enreve� ...... �� ........ . L. 4-S�-u . rl.l�:4-d ��e � !} �.� -� . � - ` ... .' - . . . � name of .cemetery - � address - ; - Date of,-�burial T��,! �0.....�:..�!7i(N.�S.�^.�.....T....h�i-?�... �i7c���:<.:...�.,�� � .. � , > � ��/ -. � F uneral Duector � � � -� � address � - '� .- � ,. -. . . � . . : � -4} - � ,�� /��1��� .: �.� •-�•�.. - ��'��' � �.•„ '=' �ea�� '� - Sl . . � � . � (SEAL) . - „ .. � - �� � ° � � - � �Gibson Count� Commissioner � -- - � - ., .. _ � � �" 2 / . ,.r "` . . . ...�k�Gr�r.�f!�t . a�., ...Y. . V ..�. . . � . ' ..` .;: . ` . address - _ -- .., � _ date . .. .-�_ � � �-� Recorded'�locally.m book \o-'� - Y'..5�. Pa e.NO. �/ V , C� :.� � `s O� _ - `�� .. - - , . . � .... . a, c � . � �` - � _ ' ' - ." ��� ; "✓'� ' _ ' - . �-