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Death Certificate - Jeffrey, Cora Alice_5/4/1973_ .,. _ . : +` �, �,- � -' � � , �,�. . .. �: � r - ',-� . RECORD, OF, DE aTH � z , � � ' ' , � � - _ , � '' , •. : -• : t^ •, , • '-, , ': t l''� '.GIBSOV.COU\iTY'DEPART�I7EA?T OE'Hl�'�1L'I'H"- ' .,,.: � r .: � f ':� : . .� �. -.:"PRI\CETO.��INDIA\A � . .,�' � -' � � ."' . . t.. .y :..Ir' ��- "�^t I .tr t �1' .1 .i. — �' �: ' . � :V.. : � : 41 " . � _ . . . . . , `� . ' . . . � .}. , THIS-IS TO�CERTIFl �that our�i°ecoids_sliow � C_QB9._6S,ZCE-�JEEF.EEY dieil;�: = ..�- �. . �.-t: � � - :r:-- -- , - -.i:: �- � � . i. ..; i ,: . - • _ ... .= . .'" . _• �. [_.. :.". �•t: �. � ,;JulY+ ' -' - 5 =_ + 1961 '•- at�PNt :, 41-1" w'. irlalnut___P_rinceton,_Ind �-� � - _. ��month ' �'�day ; � �}ea�' . ;'_hour of death -_' � V �.street ho=pital`iural � 't:'� � ' � . _ ' 1� ' �f:' ,i: r } . . . :� -. �.i� �t.. v ." � - ,:t,...� ,�1ge•at Death `�6 ; ��Sea,_Eemale � Color =� •urh�xe i�� 'r•Married �L C ,;Jeffre,y:i�� . . ` -' -.��: _ , � : _ � i ..... , � _: w rtte.�a'het6er married or single � � ^. � _ � . ; , .- t . ; � � "._� ��3"� :�•_'Ii' �� i ' .�� :�i' _:I.— ' ' � .li '1. ;i � ��1 � - �� ` �t� -.�.�, .�- - �..�� -� '� . : •�� : � � :�1. Pnmary �cause'of death �ven �Jas�hroni� M�o�aT.dit.ls-��I3roCaTd.i$1 _ - - , i � , a ,, � . .,�� . ,. , � - . +i: �� i: - � �1. :t� ty: _ .; .. ,� ._. _ _ . . . i .. �� . . .', ' Signed b� � _ � A.�S.� M6ELrov,__+�I.D ' ,pzlnnexnn,�.�d.. ' j , 'a . � i �ph�s�cian-or coroner:: �' �___ _ address � � � ' '_�� . . - t, ;�r +::;� � - �.t�. - �- -�'' _ Plaee�of bui-�al�or iemo�al { - T n`:�,F =i ;-P�'-1-taseto�'1.-��d' .''', - ,- . � . . ',-name of cemeter} : � _ ; , a ess� , e :' .: � . �'�•:. 1 � i _ �. , . ' - . '� ' ' Datie of bwial • 7/7f61 � � �y1n R. Son� -�Prince,t�o ,�nc1: ' ! _ � � . � i Flineral D�rector . � � ! • ddre � , � . . ' � : V , , . �� , � . � _ , _ r. �� { � . : .��.� SEAL - „ � � Signed�. � �... ��. � � ....)�._ ' Gibs�C 3, mner � , ' _ � ^, \. , � , . , e i . t_ - :r .i- � . .'. ` :i % � . � , ' " '_ ,:, ..- � ; ' :`Princeton. Ind. J K/3/7� ~ - •_T .;�f��.� .��' � - •address-��,�' .. ' •� � .Date � �� • .. : . � '.- -- . . + . . ♦ � _ . t'. . : . .: :_� ., ''.' . _ . . Recoided locall�- m twol.• No � 7 ' page:No t li"� Filed: 7�};_p��7, �- � • 1'_ � '� .' �• ' � . . , t;_ � . '.I "��,_ �•: � t- � , � _ - ' ,: - - - �' -, �;;� :� '� . ,' '� __ c: - ' � � � _- , '! t�. .ic .� . . � ... — — ' . e ' . . . - ' t.'_ — _ , . �: . .. . �; .:: . � .. �. .. . .. . . .. .- . �� , :�� .�. ,. .'�'..�...• „ .. , . ,