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Death Certificate - Ferguson, Emerson_7/23/1983
..\ � r� RF CORD OF DN.A7'li GIIiSON COUNTY DI;PAIi'1'MPNT OF HI:AI,TII PF21NCf;TON, INDIANA „;;,; ', ���:;,,. , '�:;;,,.. z � �� ��I,t;` : ��: � ��� .. , 'i�J� .. �",�'., , .:.��,,. i• .�. � � `� 't,�� , n�i*, '19iIS IS 'I'0 Ci;ItT1FY, that our rer.ords show_ _EMER$ON PERGUSON �1e� 7_/_l/_8.3______;�t 6_:?OAM ______G.ib _Gen. Elosp. Princeton Ind. month dn ---� y ycnr hour nf dr,nth strer.t, hnepital, rurnl 7 3 r7 . wh . Agc nt Denth__ _$ex_ __Color Maritnl $tntus Married yenrn write whe�ther married or sinRlr. l�cute myocardial infarction 1'rimnr,y causr. of denth fiiven was __ Siqned hy_ 6:_C. IIr.i_nk,^p0_ __ Pr.i.nceton, Ind. phyaicinn nr r.nronr.r nddresc '"'�' ' '-- '-- Plnce of burial or rcinoval_ Spurqeon— ----- Spurgeon'--Ind. nnmr, nf cr,metery '—' nddrr,ss--' — Dntr, of htn�i,tl_.__��3/83 Kendal.l _ _ Pr.inceton, Ind. runcrni Dimctor .__. _�—. ...addrr.pp .—_...__�_ __ /A\/ � V✓ �«7 �. �.�7� SF.A 1, Si fined------.--.- �;ihann Cnunt.y lie�lth Cnmmiasini�r,r Qr�]c�ind Ci l.Y. Ind. _ 7/25/63 nArlrr.a? �Inle Recm�d<,vl lor,all�� in linok No.._----10----Pa�.r, No.---. 96 Filerl:-----�/25/83 a,�»:��.;i .1 y�"ta.y :��5�. ��: :�`�tw' n� i�� � ^� ��:c .`��.5��� i +q ' �7� ,: iin' � 3 `yt'�,;�;'' `. J. � ��y , 7 . f".• '.' i': 'c; t �,. 4�L�,'