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Death Certificate - English, Paul T_5/17/1973
r � 1 � F ; �{#:«� ' � � -='•�RECOR� � • l � '; F i � 4 ' L l� 'i'.-THIS ISz +: � T S � ' "`' i Apr � r � �e, ' � ';,i • �.��- � . �. 1 `;. �l i:j 9ge at+I ° =�.. +: e 5i j3 �_ a ` �- Primary. Ss � ♦ i .v r�,. �:!! t .i� � ., .,_ S, '�.�,. ,.e�:'_ Y: t,^ � y .� � � . _ � _ ir', .. _�.: �, � , 4 . � � � ` � ' :� {` �_ -iS �� F. �F��DEATH:^1 _ . _ `_• _ 7 r,;. ' t ', ' 'r." . a __.'�.. ' ' �•' � ti � + � � � GIBSO\ COUriTI DEP:1RT:lIENT OF HFALTH •. ` � ' ��- �r � . PRI\'CF.TO\, INDIA\�4 . � � s -� f ..� s � __ ° . � ' � � _t ` t tI . ' se- -;4 ' ,' . _ . ; : _ . .'!:`: ' i :.�.rt: � CERTIF.Y,.that'oiir records sho« - -�• PAUL T: ENGLISH� ,.•••�.�' -. �` << _ : ' � . ' . , � , "��,..13 ....I�. �.Q7� .. _. .,t 7AM DD .J11 a.:..t_�_��. ir _.�i ..����• �� ��: y4 - �Y � �.,i:�Sear� , � ..i ;`rJ2 e, '.=�e�= �MSl�e •r,.i;... � r� :.:i.". .Tears�.: r�.,!-_.t,7`�, ::�',._ :suse�of deatli"g�ven w�as '!` �� � . t7 _ �' i�" . ' .. } � :i4" . . � � ' ��� •�-` ::.FArI-�•�AnAec,�� . �:�,+', . physician or coroner_;� �i� . , . ...' - . -� ce of+bur�al or remoS�� � 4lalnut + : #�„ ��:} ; � r � � � aname�'of cemecery , - �-� `� �'° .� - address . V � � a . ,l:.. . - i „' _; Date;of;buna�/�73..�. � O. D. Harrls & Sons ' T Pe rsbui ,�nd� _ f��-1 t� � ', ; � - .� - . - Fwneral. Director ddm _ ..� : 't � . ;i ,�. ; . � t . . . . .. , , � «" � 9BAL � � ,- ` S�gned " - . /i � ;a � ,�ri ' -s,7" _ • , _' GibsonCount}�`Health..Commi - � E' ` , ` � _, � ,�' ' . � Priticeton:• Ind. � -1 _ �� � 'r Y�' _ j_, � <<t ; . �. � . �_ ' .addres� � .s . .-_ , t . . ' .� � . �: . : , . k . �- _ i s ' y ;: r : � . . . ..� ; . .. -. ... . . - • , . 2 5 `� ,. . Recor e� lceally:im book No A-51 -- Page I�o:—__38_—_Filed: 4/IQ/74 �'' •' � '� f °-�=,i 3�-a. . � . . ` . -- }� '-.E� ',.• ., .e . >, yj< ' �.t. -. S � i �S E _ ��•• ,_ . . +� " .:i• .r. +�.. t �--tt ' � ! . ��i. .. ' . �- .:i ..,. . � � f . 1 � . � l 1 .. I , S � • �i 1 `} � t� { i , �'� e � � � . � � , � � {i � { ii jl�: .. � .�.�ti t t F •- t r � .r t : �. ;st�a t'1 .�t..✓� - . �, 7.:� S Fr.� � '+- : � � :�Z } i �_.,a� 'i.6 s�. i ' t " _ -' 3 •� ' . �= .ii-'.�l ��;: iix+ :a�>„% hour of death - ��• �. �� , ._White ... 3 � �vrite ��•hether, married or smgle -� - ' "'. . . . . ... �,,. i ..-. _.. . � . . _ jy j1 _.. � ' .. . , r ' ?. �' 420_�heTTy '-" Esan�Qi11E �'.., ' — - . _ - addre�s-,:.i: - - - _ --- _ . - , �y t� ,+= 4t' ', i `. '{ -'died�. ' 1 t � .'.r i..� � : 1 t t� t�� `. Mci �„i�..� _ ,i e � __ ..__.;,t i;� ft ia� , �- ; ? � : ,4ti' " � - ;�. ' is �. ::,�+ � . F , 7:3 , . . .:,;. `: Date . �s: f = • �. 1 � �,. i . �?'_ � i � r' 3 5 �' 7 : ii 7h S ' — � S . Tf . u _a... .- ._l: ' �, i _a_`�. i � _ � . _� + r P � � 1 � _ � ir ;.1. .S ..i :..E.y t{f.S�.y _ .�'_.t_t ., a... .. _ . .. �, , . . • .,, . :"�... P .... . .. L. . _ .'...._.