The URL can be used to link to this page

Death Certificate - Fausett, Kenneth C_3/25/1981�, .� `I• U� ( 9 ��,71 � � yF�j� �7.^9 i' ."1�'r � ,: � . - . . . : j��R�,.�,1�3�'��Ti��I�i�`i�� i.� �t1b�A� � ff��t1�iil t . � � 11�� -..' � ' � . . � � R� i� �' � 4i�� iJ�1 i�'[Y I i L.1 JF _ . i RECORD OF DEATH !� �bc� �' � ` i, + .+J�°sil�� : , � __— ' ' - t � ., � � '•;�'�'�! ` i � �!� � � : • / � i� � � `;'. . , , , , • ,GIB�7N' C�OUF� DEPARTIII�NT,; OP HEALTH - ! I I ' : . . � : , .? P. INi�CON:{YNDIANA' � . ' ( � � , i , , ; . � (Wj . J � i � - �.. .�6.. .;s,i .t � - •`;n•-. , , . . , . . _ . i !_� 1� i 5..� i � f. �i i .�i � _ .�. ...� . . . . ' . ' . ' a TiiIS IS TO CERTIFY, that our records show ' K-E�`�TH � C;. •FAUSET7 ' died i � . ��i, , .�I.; � . .., _ . . , . . . . , •i. �. � . . i � oi{� . �' � Iq-. '. . .'.. _ - . �• 3/:o/b1 +( .'; 10AM•. ,'��,t RFc�F1�.�;Francisco, Inti. - . ' � month ; day yearj � hour'of�death ' ;�1;� �; �;�,�'<!. '� °"street. hospifal,--rum1 � . . . . �. �-' = r . �� I ' .�- . � Age at Death 75 lC�x �- � M "Cplor 4m �� T4arifal �Stafus � : �i. i , . � . � years : j . . ; t ! . i, � : .� . � I � : + �. �: ..: . -' . � . write.-miiether married or �single � � Congestiveiheart failure.- �- ' ; � Pi-imary cause of "death gij•�n a�a_c ' ' . ' I F �: I ! � � '� ,i � � � I '•" _ . � r-- I:;. _�. . � 1 Signed by +'�lph ='�?wicke�,l„ P,� i•••,!; �;Byansville, . Ind. . I �- . ' . . PhYa ian or eoronei'� ' . . � .�1�*�, i":�:; � .. •;address _ . _ . . . � .; : .. . . : � ' , : � i�: ' ; , . �.__.'-- � ------- -- - i • �' � a • ,; A�a le Hill +. ;�. � ' Prirceton, Ind. • Place of burial or removat .. . P.. �.: .�..-:---.. ' ' - - -- -- - -- � ' ' � � . ' � � name of cemetery t n � � � address . ' , � , .. ``' ' 1., ;.• Date uf burial 3/;12/81. � ��;� ;. KendalT'.�"; "- Princeton, Znd:` ;.'�--'"-"'-""-`-- ` I ' . - :..._ � j, ' >. �Flineml D'vatoc; � il : . address . •.,-.:. ; . ' l , N I. � .. � •f � t. � � � . . ///� // ///'/� . {/ //� /y� �/� %//,� '�� ' , � �• 1 }� 1 .� � 3'. � i 1 1 � \ r � r � "'/:T/�✓/(/'., '�� i"i . . � .� l . � � �t�1;C�1 bf��G �--_ D , . �,, ,I1 . ' ' �i' r ,. . ' ' 4_ �.�� ,t i �c � r.�.in��::. i��U�y:r.\ ' . \ SEAL . ' � Signed ' - .._ _ � - �I i � ' �� f' " � � G�bsbn County .Heallh Commiasioncr �y 1. � � i'i ,. t " ' ` � 1 2'' : . . � , �.. .i " � � Oakland City, Ind� ' 3/19/E?��" �{. � �� Ci�'~ � �� .--, ..� �. �r? �.. ._i .r oddresv. .�_._ - -e — - -- - � date_ `} Recorded• tocall :id"`� .-: , ;' �'' . lo:a� � . : � :3l� ' � f ; ti 1 :, .: :•3�1��81 - --�- . � . . ... Y �book No. - - - !. _page No. • Filed: �" . —. . _. _ . , �;::,: ,.. °_� :y�:;.:�:ta. �.r �.. , � _ -�'_-�_ �!_..� . ,•i� �- �r��' itl c..i )-i . . .. � _. . . ' ' , __�..�,. ._ ' _ . . 1 I �� P . ! 1 1 f t A� � t �' ,.s ..r.-e.�. .�� .�a.+w�-' . . . ; - �: . . . _ i_S,i,-.I I.��:.: .i ' • .. , .�� .' s ��. +-: . _. � .:. . _'_�_. . � . ' ". _�. ... . � I ., -,..,... .. � '.. I'_"_" . _. i �t � . .