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Death Certificate - Farris, John O_11/1/1972
I� �'!P14 .. . � r.� " • _ . . l}�� 1� �f� j .� .: - . . _ � ! �- . ��'i'~ }! '4�i iT. � I ' • , � 1 . . . , ' . .. � Y. .. 1 � ' ) . -t : . 1 . - �. •-� , � �'�ECCfR��)fi nEa� • � : .�; . � .. ' , ,`� ' , �� , �, � .. _ . �' � I7..,,.—i� � � ' ' GIBSON_COL\TI DEPART\IENT OF HEALTH . , s i `� - i � -� � �e :. . . e� �� . . :�~d �.T.'.`t C.-���r _:1� v�_'+ .' ._- �PRINCETOV�:INDIAI�A�^' "'t _a. � E�7 �+ �..: ` �t�' � . �� ".2' .'i " f�z.._'?- �'E' . � ' :. < : --:'' : �� :. .' r' -,.'_.�4'. . .� � ' � . . et� � 1... .� � i . � ... 3 - . .., . . �C' � _ '`��,'PI«iIS IS{Tb'GERT FY 'that our.records sAo�c - :703N: Q,�'AR�-� ' � ' � - �t --+ � -�` � •z -' �. . S '� d�ed ,i��:-l;`'.��r�'�,} n �� 20:':� � �1972_ .;��:�OPT�GIb. :�-.. . _ _ , ,; ;. , .- P- ' , �e`n. =�o�R+=Pr1nG_�tron,. ind: 'T � is�'m'�nLR-1 .� +- da}- �.��'��ea� . ;, hourof:deatk , � . �, - � str�tt,�hospifat�.runl � u.Age,a �eatfi 736 •Sex nSa2e .,Color_' .lhite - -• •Mar+�ed�"�' ;� `�s' s ' A t , �r �)�,•{� � years . , . ^urite w�hether'married ot �uiSle�_ 'i '-.le - . � p af � �.- e , �S ' . . . �..� .. z '. . . . . .." . ..' _... :._ , i{. ,_; _ ` =�mary-�ause of-death g�ven wa� ass Ye a����r�SP,�t�1._lnf_aT�L1on -' 1� . '; : ` .:f �� � :; i � (aiitopsy .finding'). . . � _� � . -�a - : . `. . '.. � .�.., ... .:.w .. •.._.... �:_..:. ..•: .._ _: ;' . . , .. ,: � �.` � �.. . �' �t. � r� . � :;:, :- ;. - _ . . . . , . � �it•Signe����'��`r�i1�;NcCart�� ;MD .` .`Princeton� Ird.� .�.' .S�.r ' ,_ - 1 LR�i 5_.�i .�.:�; �`r-PhS'cic4�no2_aoroner_..,�: L� j ,:i.^.,'�'addtes8, ..'--- -� -_ ;'�� � .,�, 2" � i ••Place'���i�aLo� removal ASontAOmerV Oak and. Cltv• indt �' - �(' ' �t �S�I f �� .,: . � ._ name of•cemetery� ' � :; � � addmss j � . „ � - ," � - . � � . .. � � � i �� . � � i i � . , � ',� L. . ..'1 " . t ` t Da�of�nhflL s,�L2�/72 Lamb��S�hmutzle - k�an��X� �1 t.g, Iii� - 4 „ .. �� ' � F�nen.�,Director ad�IT� . .. �_ . 13' 1 , . • / � /�/�`' I� �.; � .- .. -, _,C' : ' .. , � . • �i'�t,lA��/4��t.�lY� /� � `. � � � � - `t>'' r�$�iAI.�i�� i ��- 1,. � �� '. `.:S�gned� � �.`. A�� �, , y�. . . ' ` Gibson Covntp.Health Comguss�oner_ — > � ,t1.. r�,,;" t r . � ; � ; ._ :-. • � ..,' t :'..�'" ' , . _..� � # �..+�" �. '� . �.::� � .,,,� �� ( � - �, _; , � •Princeton;�'Ind: _, `4127�/72• � ' r �S" i i�, �i .'�+ 3 � ' ' � ��: ' ' � r; address � `-�` � Date . -'. .} . � ; _�:1 . .,' `'. � .', .� � 1 ;��� �R�1� � .... . ., r.. „ � ii• . ' .' . . � i �. 14�� C � i�. '�ecotded'locally in book No 8� Page I�o 4cZ__Flled �—�./y�,L�$� ;� '� ?s " . t "' tl t ,. . ' e � , -- - � < r .' f. �l�C . , ! ' ' . ' 't. - i �-' ` ' �': x " ''� ..[. �-, t .k ♦ 'L° � _ * � ..:3 t t t.. : ; 4t, ; , � , , - ; � � _ .,, � � ; . : ,. 1 �tr "� � �;i-.:� �{ .tf � �+ r'. . �- � it r� . . t� .l�• ' ..c t� � .t_ S . -f ' � 5i � r ( •�..i i � _: -', , _ _; � ..' { '' ,i 'N Z.. r t . �' iq 1 . :r . _,s— •1_= _ ! jM" i_t �' - � ��'� ��' ,°' c � _ . . . . : ' — � 2 .�.. � ,' :.'., . � .. .�+-�.�.,.�..._� .� ... � ..... __ _..., .,,.� .... .�.. ..� .._ _r... y.._..s�,..v_:-L :�.c� _.s �x__.=u�Y',�..:_. _ _.�,_ - .