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Home My WebLink AboutDeath Certificate - Greentree, John W_7/12/1974� �� w�� ' ` _ ' ;; 4: � i' _ _ _ a- — •t - S ..:_: . . ' ...��~ ' ` - �. Ss i' �i_.._,, . RECGRD OE DE�TH: ' � `� - - - � � , ,'.--- �_ ' -- •- -:.,i- :� •' , , ,. ,.,.. . �.� `_ ;- GIBSONe=C0U1VT1':DEPARTILENT OF HFALTH �;i i "`;==;;= ; �~ �j �. �E �i PPINCETON- L\*DIANa �; � �� #- _i.� 1 r,_�� 3 ;: �. i i 4� � t 1-i � i � � .� � .,l� .,`Y. 5 �.r� .�� i •},`� �� 1�. �� ' . ?�', _ .t��'` - •�Ft �i �!3`°i_. _ _Y.. i� i�:�..:7..�.�sno15.�.L7 .%!AFF'ATTRF.F rt��; .__�'d.cr7�,':. '! •�*TJTy:TC � __ i 11�^:-ii .t' i. -+ - .. ..qs� t�e.� 3{ .!� —}y _ — _ .;; . . �, I � � � , t�: �.:.�I07 - 2�7i� i�C��' at_ l.{`"" +°-.FI G19 G�II�HO&Fi. -P.rincctos-i. rid�. + . a- - es .� i� honr of deatlL' � � -c �--. stxeet hosp�tal rural: � � c-.�. ' E�,�I .. - month.-.- daS- t 9 7 t�. � �: -, 5 � i � -. , -�� t r U. 1. s: �: 3 -+ S 6'1 �T��Yj��sle ij Color Whff.�� •Mantal Statu� : IrSY��s'f6d �,'� . �e-'at. Deathj. , ,. . : , i , , , , , ,-, - �vnte whether mamed or vngie"" + 3_ � �.._i� � y2975 . =j '�s . s'��'�'�_...:.ii � - i � .r_. �� -v l. )F;�:f�.. �k - �i� 1� s" t. f. � .: �. �.._.. . .. �. i 1S �_._, r.,, f � � :i � '' Y �ung � v ` p-imary cause of death glven:w2s -CaFGi _, � t , , �:�.��_;;,.�f .1t�'- .�,ii'"_' �' �c'". .3_"`t �' __ _t r----`� i ' : �., ' ^ . c - � I �. . _ . .�.. � . �: � � � _�. ' : . . ' } - i a ' � ^ 1 3 �r �e W�iti'f.91�i M D � Princ�tor,.-�I'�d �� ' !� ��igned b " - . - � � . . 0� � -- _ � iJ .physic,an o comner � . _ - . _ _ � j . . :addzes . . _ . . N ' _ ��''` " ' -'-'Whitb-Church Princeton Z�d.- 2 � Place of bunaL-or removal " _�dress + - ,-- s� �, � �.. - . . - � + � � name of cemeter9 t �-" . . -- . , .. . : — � ��t 11/29/2'4- •�Colvt�-& Son ! P*�nceton�Znd:- � . : Date cf buri „_ _ _ _ _ _ _ __ _ _ _ _, i N3uieral=D'uector.: - ' address . � . s . : .�. f� . .a- � , � . �� } ; t 3 I �t�K.(��; v./�� ' , , t- ' _ \ 1 ? t .- ' • ' - � J, � , — i , . � ' . � � ,. .... _` .�C . . � ) � � .} 1 t � t i � { ° t 1 � { _ - ..-.. . . --..:...�' . ..�.. • � �_ .. � '—' -/�� ', -, t�� _.t �� ._ .3 ,.t;_.";i;;;::i:°'.3.°.� � i?::°";: '�� SE�L �� __ _ r - ' Si�ne� ' _ , j s � .— � . . � . - Gibson County.Health. Gommi�sioner ! � _ , -=� �•--. _ ?�. .�f il t� : ; � —.� c= i� :; � . �. --- - ..�-- > '" t� ' - ia �� — • ,.Pr4ncston �_Ind. �' I� �% s � __,; 3 � � . ; ..,. _r__:'y � .__ dr e . .-., . ._ -datc �:_'. � ' : '_.".' -_'._ ..,:.. y , {\i � 1} v __sl ��_ i�..._l•3ddTC99`:j e•�? .y . !. .i3 ._�.�.._., i.,. ./� . ._ t� i ��' i i f 1 . f �. i i I� A S " ii/3o/70 -,ERecorcted �qcallYin �book No g .�# page No 1�—Filed ` � - _ - i .: ,.:' . � — � - , { y- — , � , � s s' a ' , � �`- " _ - - . , ,....'. ;. ...... � _. ; .. .. ... . ....... .... .. ..... _._..__.... ... -- __._ . ... . ... .. .