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Death Certificate - Heiser, John I_11/27/1978�� ?� � I . `.. �i�co�cu or� nr:��TFi '�� , � GIBSON COUNTY DEPARTI+ICNT OF HEALTH PRINCETON, INllIANA � TIIIS IS TO CERTIFY, that our records ahow JOHN I. HEISER died ' il/?/78 A+ 4�3oAm 602 West Mulberry Princeton, Ind. month day yea:' hour of death etreeG hospital, rural Age at Death 75 cPx �' Male �lor �l�arital Statua Married y�� . wrlte whether msrrted or eingle Primary cauae of death given wes Carcinoma of I,ung (primary) Signed by R• S• McElrov, M.D. Princeton, Ind. �- phyeician or coroner addreas , Plnce of burial or removal Liberty Cynthiana, Ind. nama of cemetcry � � addresa Date of buri� 1�9/78 Colvin '. Princeton, Ind. . . . � � . Fliaerel Dlrector .. addrees SEAL .- .. . ' ��/ vY� CiLI `C C�-. ( �.�% , �Sa � Gibaon County Aealth Co eaioner Oakland City, Ind. 11/14/78 ea� aac� 9 `71 11/14/78 Recorded locally in book No, page No- F'+led , .• •�� _.«--•,--._... .__ ..._, .., -,-. ,..:,,.:-� . = :i.� . . . . . . ' • " .. � �. • . i . . .. ` . � � i' . • . . � . . . � • ')• .'Y .. . . . . . , • � _ . . . . � . " . . . . ` r' . .. .krr.i ' , , .. . � a` ' . . ' . ' . . . . . � - .. . , , . . '= v . . : - ' . ' . . ' .� _. > .,; . �. �. . . .' . . . _ . :, } . ' . � . . . .4 �1��. ' . ' .. ' . , '!.. ..r "� • � � , � ... . .. . . . . i.l' t.f 1 4 _ . . . _: c': ... . .. . . ... . .. . `. .-. . . �. . .—�-.,— . � .: :� � ' ;' • � � . � . . "�'e . . � � 4 � �'