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Death Certificate - Douglas, Margaret_5/15/1972� : . . t • .. • :' . � ' . • , � j , , ( :' , __ RECORD,OF:DEATH:;�, ., � .. , .. • , � _ �� ' _ :,' ' Y : � =� GIBSO\ COUNTY DEPARTIIENT OF HE,9LTH, -�" . -- _. . -:PRI\CHTOT�,'INDI.aNA' . �� ; .: ''' : ; �:. � :+MARG�RE^t.�D0UGL45 .�:,: t , ' °,.t ,'. THIS,IS T0 CERTIFY, th'at our records; sho« died .; , 's - .. : • �� - -. ,. -�t_. - :� . . . . : . ', .�° . -rafl... _ ��,.-- ,,;.;.,=� ��'�.>_,.•° -•- --._ . . . .' . . .�. . . - .'. - - . c , � . . � � moncn � - . • , � aay - . ' , , . ' year - . . .- � :: � -. nour�ot aeacn . . - . . - � .---.. - street,- hosprtal; ruFal' _ ' � -- Aoe�at,D'eath•.80 •,��Se�'Fem�le•'_ Color-�: �'White-:' �.Married - _ � _ .}�earsj • - , � , � • � _ - � � �crite �w•hether �mamed or single � ` � � � � . : : " : :. - _ �: �.. � . . . -.� _ � . Primaiy_ cause'.of deatli' a ven .was -Uremia �- - � � - - • "' , �� _ -� . � ._ - . __ -- . , u �,' taP ., '. - , .� Princeton��nd. - � Signed b> itze�,—t� ,_ _ � � � �� -�i' -`', physiciamprcoroner � _ _ - .addre�s ` � � - •• . . � "Elace of buiial'oi iemoval '- .'Oak� Hill Le�non, �n�-.� � ' � . � _. naine of .cemeter� � . • . . i :: . address.' : � _ �. ; , . - _ . . '� . � .1 ' � , ' .� . . .a: . . . �Da'te�of:buria' 1� . _ - _ - - '" -- - � .-.i - =�.. Funeral D�recfor � - � � � a , �� . .. ` "_ . . , .- . �- • _ �� _ � SE9L ,�� -� _ :� S'�e"' .A; • _ � . -'�� s ; . • � � �. � G�b on oun . ea h iss�oner ;�\.� �f. �._ : '. ;' � •' '� ' . ? . : - � .prinratoxy� �.;� 'S�31/72 _t .�-:�� . ..0 � - ._. :�address.i• - - ' ' ,- �.1�'Date- ... . . � - � r. — }� � . .�.: i...'.� � ,� � ' . . �. � . . . _ . Recorded locally m Uook •A�o 8 - paQe No: '� �q F�led: � ? � � - . 1 � l, . `� I . � ; `♦ , .r. 'tl � � ) , �� S � . . ., .. .. . ' , . _ _ • ' . � _.. ' .. . ': "' . - . -e. �. . _ �.. - _. ' - . . , . . ' .. ' . ' . ' •' . - - . , - .. ... ..'_ �1; . .: -. . . . .. . . - ' � .. �... . . . . . �. — . ' ' . �. . . ' .. . .! . . ` . . _�-