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Death Certificate - Hyslop, Ray A_10/31/1969RECORD OF DEATH • •. - GIBSON COUNTY DEPARTMENT OF HEALTH � , � PRINCETON,-INDIANA - � � . . , � THIS IS TO CERTIFi', that our records show RAY A. AYSLOP died ' ,. . '':Oatober 25 1969 at1�55AM Gib. Gen. Hosp,.'Princeton. Ind, � � month ' .day . year � . '. .hour of death- � � - � street, �hospital, rurat � A e at Death?� Sex x.ai � Color � S T- �-- . . � ' y¢ary - - write whether marri or single- � � Primary cause of death given was Pneumoilla, acutey riaht lung Signed:by A• E. Weitzel.'M D: Princeton, I;,d. . . , ' - physician or coroner -T: -' , .- ., �" -" . . .--�addmss;---�;-- , " -- ' . .. _ , Place of burial or removal -I.O.O.F. (`Pmwtn�p Franr.l enn� Tnd. T' ' . name of cemetery. - ' .. � .� addrnss " . . � . . Date of buria 10 2 6 Colvin. & Son Pr nce�o I d. . . �� Funeral Director . � SEAL ' Signe �� . `°. � � Gibson County Health� Comritiasioner � � r^t�� 7rr.y. . . . - . �' 1��' - ��'f' '� Frieceten - 2nd. 10%�1/6� ,;;:, t , s,r/-,$} ' -�.� , � addmss. . . Date . �_ �,�� . . . . • .. . . Recc-iled locally in book�=lvo. � page No. 2��i--F'iled: 1��28�69 .�, ', � . � . � =� �� ..; •. ,�. �: �