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Death Certificate - Hayden, Elden_4/27/1967. . . . , .. .. _ r . . �.,__ : : . : • � : ,. . � � -. RECORD �Or DE:�TH _ �� - - � . , ' .. ' � GiPSO\T COUNTY DEPARTnfENT OF.HFALTH . - - • . , . . �� ..PRINCETON, INDIANA . � . • . . _ � . . . ' - . . . • . . . . � . . . . . . �.THIS IS TO CERTIFY, that.our records•sho�v ELDEN aa.yLtFi1 � died Januarv �17 � 1959 ��t7:30 P.M'-227, fi: N!onroe-Princ'eton,Ind. mont}i ' .�day� � � � :�e5r - • � . hour ofdeath . � ' �-�street, fiospital, rural � 9ge at Death 59 SeX Male. • Colo�� '•.r`�lte -.. i�arried'. . - , � ' � pears � ' ; . . " � � � write whether married or single' . � Primary cause ofileath giden was Goronary Occl-usion - ' � -:Signed:.by 0. M.. Graees., -rh,D �_.� I' . - �princeton, Indi4na " � physician or coroner- . - � �_ ; ' - - � .' : � ' . address, � � - . � Place of burial or removal�t:raTn„� r�; l t Ft.. Branch Indiana . - , , � _ , ' - � .name of cemefer}� � � - � , , . " . . , - . address , . , _ , . � . � Date of�bu'ria� 1-20=59 Colvir. R� Son_' - prince£on, ,.Iridiana .. . � - � � . F�nerel Dimctor . � " ' � • . � " address ' � . � . � ' - ' � SEAL .. .. . � :. � Signed _d�i!�/Y �F,/i��..u� /� :Q . � . � � - , � � � . . . . ' � - : . Gibson Count7 Health. Commission r :. _ - ^.- . . arinceton; Indiana 4-27-67�. ; .-� . _. , - ._ � , - ` . � - . " . : adarnss �' . . .. � . Date . . ' � . . . . .. . � � � - . . . . . . . . _ : . � Recorded•1'ocally.`in book.No. 6 page,I�TOr 261 = ' , . . ..., ' :i' � Filed 1-20-59 . ,.. . . . _ • . . . ,' - _ . .. _