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Death Certificate - Eaves, Dudley_4/19/1974�. l.. �. . l_ _ � �_ ,��.�„� - --� -------_-=:t ---------:-.-------------- .- = --- -- - � _ .-„ _. .- --. _ . � _ .----. - - .-.,. - _ _ . _ �.. . „ _ ' RECORD OE DEATH° , :.: . __ . _. �. -_ _ _. ... __._ -.. _� I _ � GIBSOV COU�TY'DEP3RTlIEVT'OF HEaLTH. �� ' � . � PRINCETON ,INDIANA - � - - � _._ -- - - {� - - i".�.. .� - -THIS IS TO CER'L�'Y that our reeords show ��r Y��'S w � � :-.I - , —3 , _ . . d�ed ' ..:tp3 - p. �t � � .�: - � t_..-. �.� . < .'_,.j��Y�t "� _ "t .�-i: r. 1,, -2 6. �!OSa'- ;Gib.: Ger: �os�c.:_.PrTnceton, :Ind: � 9 9 = at-- _1 _ �i � `mentn� "� dav� vyear' . hour� �of _death : - ; . ; � � street. hospital rvxal� - � ,,F .�. F,:::` . -s � .;. - _; 3 ... � s..: �4 �'- �. .� ..�-k. `fi �. �. � �; - �t dru of �Eg4l: .ti:'1 _? �'2A -'K��2 � ._ i. �'iOlOi �'.s i OTCf' t . ..i1 7 ' �-^ 1RRTr1 .�ri�� -'f' -i . [J �i iantal S'tatus ; i--- s _ __., . - S'ears r ._� - c r a� � 3:..._ , , :-: g 1 :--- • ' : ; :�;... � - _ y � . r _, - . l ��.r : i, write whether man�ed or-smg e � � �s'.�� . �'p!_:fi - _.e+t � -;f.. �.....- �. '�i �4 _,_� �r � Tt.�fy �ltl�� i a.. • .:4 Pnmarn cause;of_death given:was �Canc=�r"of �right �i9nff --"' _ f , w ._... � . ` r.� � � .� __$;�:i= , �,'— , . i-..- a f x �.. _ _' _ . r . - . _ .. . �� ' . . �� -� S.: :Sig^ed by.. n � 8� -�.h';.a5 � i z.�^ - ➢'ri nrern+r`• TnA "- } o..�_� 'F=�_ _.'- - -�t� , physuisn�or coroner �- i �` _ address r Y. . - . - ' it. 3 ,>. - .3: Place oi burial=or'removal : �-:i-?3to'ia:—��'=° �.Pato� � �Tnc� - . -= ._- ' . _ -- _ _.,- ; . . name of cemetery - - -.address . . - _.,..-._ . . ' � . . ...._ .'. • : �. � . --� . Date o*" buriai 4/2� /ho�� . rni-Ti„ o S.tL-t p , � —'�se�e . � T d , • • � • Funeral- Director ad� - .. . . � .. . _ . t" - --� - . ' .''. - ' . �_ � �^'. � y(/ /� � ' �� _" t ) t �.-. Si c; ` i � _ . I � � � � /_� _ _ s c ( �} � t , _°" .\e `l. �L'� ' r� �` �1. '.VJ9�-�J �' `-_' . r_� � r � t�.e i :vl,t � ,�).t/-') � .bE�L ,�' ��`� � _ ' ' _ Signed '-- i`4[,u _�, . . �iv -� - � � - °- � � - � G�bson Coanty Health. Commiss�oner t � . ' _. : � i . . . . �� . - i . _ . . . � . � 5 .r :- -x - .` . ' . �T' {'<<i- '� ; j _ � � . - ` , 1 D*'1�'1C°t0'l.r 'InCl ' K T�ZR�%4 ' �1,;.. , F �. �-� i .y, i > '� � ,.address- �, - � , i �, . _ �_ an,e 1 ` '� � i r _ j rr . .� � i - � "i : ..._' � " S'. w } , a . . . ,Recorde%r locally in tiook No : 7 - '= Page;;No.-2�': F'iled:_�,��icr '' �-- ` - � ��_ , L, ,� � :i s �' :. r)fU�� , - . . �. s . . . .- _' _ ' i. 1 t} 3, _. f ..i � r _..�_�. . ' _ . . .. . - ,.. ,.'� . -. - :i`,...-.�,..--�. . ... ._ .- _. . . t�-. �.