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Death Certificate - Holderbaugh, Jesse C_6/8/1972-'..�"'y^r�_' d.�'°.°^A'�!a'� 1�;�� < .'4; .� ,�'�a- .,,. RECORD OT DEATH GIESO\' COti\TI' DEY:1PT:lII:NT OF iIE.�LTII PRI\CF.TOX. 1\DIA V:\ „'.� TIiIS.IS TO CF.RTIFY, that oui• records sho«�_—__J�SSE�._HOLDEf?BAU_GH___ __��e� , _—,Tune 2 19�___at_5_a?,OFi�� ir. Gen, -+os�. Yrinceton, Ind. . month dac pear hour of death .� street, hospital, rural �. Age at Death 51 Se� ?.i_�le__Color_ :`�?ita i�'arrierl' " - � . >�ears � - �crite �chether married or .=inglr � . ..p .. � . . " • -. . , .� ' Primary cause of death given «�as--='�ua�ous_'cell—�arcino_:� _cf_.S,urtft;-- -- ,, Siened b5' ':iilliam Y. ?d=1lsLif?? ---- ---r''inceton�?nd-'--- . � ' . . . _ , . . . Phy-sician or coroner � addre=_s -- ' Place of bui•ial or remo�-a1_ �o�,a�^�bia Cnutch ----i� ir��t_on., _InP.-•------- � . name o( cemeter�� address ' . - a . Date of burial�? iS°nr.a��_L'LU,°r�L?�o�e----n —��ce.ton,—?rui-,---- • Funeral Director /1 lladdr _ . � � � SE?.L 1 � ��/:;.!/ �/ /�py� ` �� Signed_— �!1�`�:;�t-i��',-L`zlt��_Z_- _ -- � Gib�on Coim[p Health Commi�sioner �\ . \ �rinrc_ton�_Ir�•-- ��S_?/_7_2 address llate Recorded locally in book \o.---.- _'. -- Faee No.---.--;?-----Filed:---�,/,=�7?---.--- � � + .. . : - _ � ! � � .