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Death Certificate - Farrar, Melvin E_5/6/1974�` ?,. Nu' � � ',. , . . . . � . � . .. . t' � • . r :' 't...�. ' 1 1 i •". .�i . .� _. ,. • ' l. . . ' ; RECORD OF �DE aTA = .-, � , � . � , _ _ • . _ ..;,..,.., . .. _ `_, ;-'-__.:+..:_::�'. GIBSON COtiNTY DF..PARTAfEVT OF II�ALTH .' , -: ,.� _�,.,..,.� . ' � ��•�.. ' ' � � PRINCETO\, I\DI:1Na - . � .. ;-._ � , � ..�;'.,_ ,......:.,C; _ .. i�: �_ _ _ . . . . . . , �..._ ; i'" . � i � . ...�t:°.'�� .'_ i::'.:5 �:. _. :._.'..t:::_ '. . . . . . ' .. . ' � '�� -THIS'IS:TO CERTIFY, that our records sho�c ��SELVIN_E.-FARRAB died . ,. � � s _i.�I.::> ��;. :-:i;::::t:t:,^�- ��_ , _ . . . . . , , _. '. -Mav=;��'.:'';::'�2q .:'" `197'�_at�2.:_��PN! Qwensville—Canualesoe�t�entar � ' . .�- �' mont}iLs -_°'� t:.'rt day �. .. year hour of death . street, hospital, rural; , ��_ - .. 3 _ . : . : •_. . , . . "r . • . . .. �•� . . . . '-Age at Deat}i� 58 " � Sex��` Male Color—k'hlte • iiartied_--• - � -•. : � ;;'..�:+� years - «�rite �vhethec, married m• =_ingle . . , ' � _ .: . ; � , y.. �...-:_ .. . ":. . . . . . .. . . , �� -Primary,.cause"of.death,given' was ��lItotna of lung_ _ ' - :i• � R. - . � � . . . ' . . . . ... . . . � .� .. .. 1 • i. . .ii- � . . . . . � . �` . i: Sign.ed by�`- `�'es'r3�-;A-«--Snuth, �-M,TB. ' P�ss3cville,-�nd-.--.-- - - - _._ " ; }.- •. : ph3�sician or coroner �address� . . .. , . . � �,.'Place of bunal.or:removal � • ' ' EQ�y_V111e_ � ` ' � p'o'�3cvllle;�nd. � ' � � � , � � name of cemeten� . , address . . - `:.,., '.._ y...:_.: : .' �.:'.t_ . . .. .�Dateof�buria�' "�- 5�31/�3: Werry_Funeral iLome_ Eo y_vl �Ind:. . - - Flineral Director _ , _ - ad _ ,��7 .. , „_ . � � ; � .� . � . ` '/f'�'� �. . ... . . .��'�%;`�.�,` .. . -' Signed — � — . � l _i� p "��l . .� Gibson Countp �-Health Commissioner . '''�` /Y` " \ Princeton Inii. •�%4/��q - ' .}���_ c'. , .1{ . ��i�i , i� ` ' i . � �' . t L � � a e�y� �i.�, �,y. �. i • _, . . � � address - � _ Date _� ��q-�!n p!h' ,r . ° . . I � ... _ _ . . �' �R�L�YQ2 rS�'di�T�'�tt.b�C�-�PPo...; �� �A-51_—Fsge TTO.--4n Filed:-.. 4�-4��.� " - - ; .a . ., �f'- � >,: � °. - . .. :'_ :y e'•:3::,yol;:;.�-:.. \.;'ryi:o'`:�. . . • _ � . ' � _. , ' : ��`JI� ..' 0� :a- � . ' . �. �. . ;'>>,�fylti. ° � ; . .. . . . . . . ' _ ; � - ,..;....,��: ,. . .. - , �. . . . . ' � � �i. r ' - �lJl A :i! 7 ���.�; r, �? � ' • , . ^ j� _ ':t'_� _ }. . _ _.,, . . .. . =.. , �