Death Certificate - Emge, Wilfred John_9/27/1974.°Y - -- _ .. .._ . _•
RECORD OF DEATH
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GIESON COli\TTY DEPART\IENT OF IIEA;,TIi
PRINCETO\, IVDI.4'2:1
_THIS IS TO CERTIFY, that our records sho�c. � Z+�?LFA�'D.JOHRi EiRGE died
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July 28 1966at 9 a 1� 'AM _ Gibeon G� Hos�. , Pr1 n. .onTlrL
mou6h day year hour of death streei, ho�pital, ivr!
Age at Death 5�—SeY M�le Coloi•_elhitP _Dlai•ital Status h"arri Pd
pears write �vhedier married or single �
Primaiy cause of death gicen was 4nYotrophic Latera Sclerosis
hial Asthma
Signed by A•G. Gelck Ft. B�nch
, physician or coroner address
Plnce of burial or remoca �l—da_7:O1it_I311.1 Ft.—B�dnch
� _ name of cemetery address
Date of bui�al 7/30/66 Laib runera�_F._o�e �,_B�anch
F�neral Director address
: SEAL _ -
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Gibson Coimt}- Health Commis�ioner
Princeton, Ind'
address
Aecorded locatlp in kwok No. � Paoe No144 _Filed; Jul,q 30, 1966
9/27/7W
date