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Death Certificate - Grace, Genevieve G_4/25/1974' tTa.Ea...�r. ."i ?1 _.' � �. . _ -a�± �+ � =s RECORD'OF DEATH � • ., , ' '..' . `. •�� GIBSON COUNTY DEPARTII'IEATT OF HEALTH � � -� ; 1�'' - � . . � -PRINCETOV, INDIANA ` � � � ". TfIIS IS� TO CERTIFI', that our records show GS�i � VI �VF G. C: RA CE �. '-' died :• t - � . . - Nov:� 16, 1969 at 6: OP;�` �`� "' �j G1h. r-Pn TIOFD prin . on, Tn�7 . ��, month ,t day, ,year;, hour of death street, hospital, rural �� :: �.�l: �i .:�i �.... f . . . . . . . � ' � . ' ' i- � ''' ' • °" �e at DeatFL_�! � �ex �Color t T�iarita] Statu � ; .:� .� : • �. , � : , 4 : ' Peme��.. �Ih��,: _ i•' _,,, .. "� Yea's ' write µ�hether marrie or single � .. :.ti. ;�' . ... . � � ' . . . . .. ':�iPrimary-cause�of death given was • 9cute mvocardigl insufflciencv • � �� " � � � � . , ;� _. _ " . ,' . .. ' ,, .:y .. , ,;-'„S;gnedEby•: �-' � ViraYl A?cCartv. i�D Prt nceton Ind '�• � °` phys�cian or coroner V � _ address . � � � . - " ^; .u:° . ..,..: ,... � �� : .. � , :.- i � :i.:.-• ... - - - -- ' - - - - - � - - - - . _ � .. - ..'---- - -- + ;Place of�burial.or removal > I.O.O.F. Princeton, Ind. � • ' ' .. � "`..�: ` � . . ' : name of �cemete . . . . , , , ry:. ' . . .. . addmss � ' _ . , . . ` Date of buriat + 11'/19/58 Colvin ,4: Son Frinceton Ind ' : ��i � � Funeral Director . address _ .-.� . . - ... . . .. �y . ., -.; ... � - . . � ��_ � .�. , .. i ' � . ' ' . . . ' � _ � � ..�� . . � .'. , , , i � . ��.,. `' SEAL . . . Signed � . , • — � . � . . Gibson County Health Commissioner ..S„� .. - � � � � � . ' - . �.:: - ' __ . Princeton, Ind . 4/25/7u . ' � .... . � f'- T. ,. . . . , . . .. . _ .. , . , . � address date� _ " ,�; . ' . . . . _ . , , ..".`Recorded'iocally.in�book No. 7 Page No.?�Filed: ' 11/2]./6R ' � . . . , � �. . . , ; ,' .., � r . , _ . •�.�, . . � . . _ . . .. . �. • .r .. , , . ._ ... .. ...... . . . _ :. . . � .. . . , • ._ . . � ,: < ` ----- - ------------ --- -------- -------------------: