Death Certificate - Emmons, James Edward_5/8/1978A
RECORD OF DEaTH
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-- - � . . . . GIP.SON COLi\T1" DI:PAET\IF.1.VT OF HFALTH ,
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TEiIS IS TO CERTIFY, that our i•ecords sho��=____ __,JAMES__T;D[_•IAAD ?]�(]�JONS____
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---died
Narch ---��---
l9-ZZ-- _ _at..t;:iuPF`—( � i�th �.emor#�a-7�--�os�r-�I it
�. montlt �al' year hour oCTJcPat i�T T and—C
s ree , fiosp� I'rural Ind.y
Aee at Death_._s.�- Se�----t.sal�-----Cokir----�,'hite-- -------r�tiSllled------_---
}�ears ��-rite �chether married or single • � � . . - �
Primar}� cause of death given �vas---AlvocaZ�d 3l tiQn. _. ---..—_------- _
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Signed by----_- Howard R'. BopPr_-�Q----.--- --Oal�lan3 _CitY..__Ind, _ -- —
phycician or e�n�oner . address .__
Place of bui•ial or removal_ ?�`�mori�_L._ Park ____ __y�pp�,tines_,_I_r,d, ,____
� namc o[ cemeter�� � address • . —
Date of Uurial---.j/_jl/_7_L__--- Corn_ ,rortuaTy_-__ ----Oal.i ard .City.._Ittd._
Funeral Di�vetor , �
SPA L
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Signecl.._�l;.'Q�',�-�.i',"u_ ,{ i.. ���
Gib��i Co �t nt �ti�€a(t� ���'{i;5ioner
_ Frinca`on, Ind. _ 4/7f7?
1dd��e�' —'_ Date
Eecarded locally in bool: ATO.----- r-5.t_ _page \To.----_--25---Filed:-----�
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