Death Certificate - Godwin, Maxine_6/20/1978� �
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ALCOItD OI�' D�:ATI�
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GIL'SON COUNTY DLL'ARTDILNT Ol� 11LAL'1'II
PRINCli7'ON, INllI:\NA
TiI1S IS TO CliRTIFY, tihat our records slio«� MAXINE—GODIrJS1Y dicd
month day year Lour of dcalh strect, hospilal, niral
58 Fe. Wh. Married
Age at Deatli Sex -- Color— nili•ital StaLus
y-ears � write �clrethcr married or single
Primary cause of death given was Acute pulmonarY edema __
Gary Houchins, DO
physician or coronec
OaklandCity, LId.
Place of Lurial or removal _ Walnut Hill
namc oC ccmclery
��1���7� Colvin
Date of burial -
Runcral llireclor
SEAL
Recorded locally in book
-- :�aare�s
Fi:. 13raiicli, I�ld.
address
Yrinceton, I�7d.
--� address
G�i' l�,`� y,�:.t � �;� � ��.b
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GiLeun CuwtLy Ilepllh Cm{yfiissiuncr
Oak].and Cii;,y, lna. 6/zo/��3
address datA:
H-52 40 2/21/I�
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