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Death Certificate - Hayes, Vada Ellen_3/1/1973�. .�. �. .r•,� .i�_ _ . ..1: . t ^^ ' , ..�1y f ;a � , ` -fl.' , � } ' , � . i 1 � RECORD OF DEaTH ' � ..•s ' ; = � ' _ ' .� � � �_ . rc. � .� + : ..".. � _ . ::. _, _' . ;.. s - � ' � • , �� _ ' � �., GIBSON1COU\'I� DEPART\fE\TTOFHEALTH+� �� °� 'i� �.��7 �''.,Pffi\CETOA .I\DIAV.\ ' . . ��::. ^� _ ., ... � + -.� 1 � � . '. � t "' ' .' '7�` �: v � : .. .,. . � . .. -� � . . .. � - -- � t -- THIS�IS.TO:CERTIF.Y,.thatoui�recoids_sho�1� VECDA ELLEN fIl1YES, ,'� ' �'•� d�ed'rv' - � .'. •� s ':'. : . �. � . . . _�SePt. ic1, ,�:,:i26i'":;•�; 1.9614� at-7 '3.7,Pm Gib`.tGen,•�Hosp ,.Princeton�_'Indiana ',•'.1 � � '�month., ''day }�ear:�� •�'hour.of�death -st;eet,�hosp�tal;rurai � � . .. . . � � ..: : .Age'at:Death %' S�- .�''Sez;_"Female�'• Coloi -:i�hit� _ �-; ' _ I�arried �;; . 'i; _i `�= - � � ,�..pears��.• � , ;-�-.w.�ciite-n�hether:marriedor.single . - - .� �; �. , �. .,�•. � � -;� .'.-.' • .- :-'.'-� �.� - r. ;' i !�j ' ••Priiriaiy cause_of�death-'given u•as - •'CoTOnaTy_�Thrombosis•�� _�� _ :�. i: �� - � . - ' 1 �E;• e; �i. '-�� . _, � - - _ '. - , ,� : .s��ea nz `-� 5..;�I9cEl�oy, t�ID _. i _ Princeton, Zndiana ` �, i_ 1;` , . � ., . . . . , � j . _ � ' ;ph}su�an-or wroner ' . � � address. ,�_ � ' � _ �- �1-- White Church Cem � Princeton, Indiana . ` ' �;�i,� Place of burial'oi iemoval � � � .f< 'lf ';"�.��name of��cemeten N }��, ,� �-: address��• - - � �.:�=, �9/29/i�961 � I;sib Funeral Home Ft Branc Indiana � '' Date of bui ia � - ' - =� � � � . � � - � Fun'eral� D�rec{or ; � . . � f . � . i � � � ress . , r' , . t' "'" � ' .' .1' t�' �.r ��„ . �� ll-.. f_ �4��.\�,� `y,� 't i�.+� �� .• .�;� i �,� .:SEAI, i y� t � ,��. u�a��.K«.,.13`S�gned � �%l`�%� _ ' � �' � ' . ;'1 � �i � �^ � � �'� ' � � � - �. G�bson Countv Health Comm�ss�oner� -� � , .�, l� •n —�� - �1. . i=� - ; ; "; ' , + �_, , •; , ';- Princetori„Indiana 3/1/Y973 . �� ; . �-f _ u � i � � � . _. address . � -. . t Date .. �'. � .�' � •� ' ' . . �- � _ t . � . Recorded locall}'mtbook ATO ��t Ft-=page I�To j�5� � 1�' Filedi 9/29/1961 ': F ''�: ; � ,,��i';_�1' :t_ :` _ # � , i , , i ' I' .s,' . , _' . - --��" �� , _;� '� . . 'I_ 'i– �– —` i � - - '`~t '� � - • � : ' rf,._— _:i, � :'j � •:� - �,- . . _� �'� - r�- ;�- '�,. :� .',:. •r. ' "; - . '� . �I _ . _ _ _ . " ' _ -�. , . . � : � . : i' ._ _ . ' _ '' _ . � : 1'. ' � �-_. . .. . . i.,'.. .��....�e'.. 'i . .. .. .. ... .. :� . . .., �`. .. .-. ... +, :�i .:. . . . t � ' .iC... .