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Death Certificate - Kell, Gerald_2/17/1977
i ti Xbh. � f". �ri ��r5 .�C,.. " �i�'r� . ; , w . • , � $ �4 . 1 4! f � • � . . ' " ' . �' . ] � Slt . F. ' -. . r . . . � . _,, ;� r ( t '< {'1r �./ � . .. '.�`•. . . . • ',' ,- • - . � - _.'— _"_--'__— ..___— . _ _. _`.� . RECORD OF DE_1TH ' '- . • , +�_ .. GISSON COUNTY DEPART3IENT OF HEALTH�� `�. � =!'� •, �� �'_ • - • �-'-�.•' i;- - ..'�,.. � � . . PRINCETON, INDIANA . ' �-" . . '''.� . y ' ;� . . - , � . . � . . � - ��'e '' s. ' . ,. � ..'- . . . . _ + :ld ' THIS IS'TO CERTIFY, that our records show _ r,FRAT n •t T�' "' d�ed `_�4 ce ;; June 2; 1963at 5s50AM Gib. Gpn. Hosp: Princeton, Ind�.; ; �.; month � day yeaz hour,of death ' - ��street; hoepital; rural . •�,'j` ;: F Age at Death 5� 5ex' M' Color���llaritalStatus MaT'Tied �',�,' . -� years � . . write whetLer married or single .--'5;�. , . � . �. � - . � . - �;�: - Primary cause of death given�was General� metastatic adenocarcinoma �;` %Y .. '- . � . � ' �I�%`�?. Signed by x_ F. �a pentier MD Princeton;� Ind. `�'°" � � � � . physician or coroner � � � address � . . . '' . . , . . . :;iC • Place of burial or removal ProvidenCe FrancisCO, Ind. _. ". �° T� � � name of ceme[erc ' � . : address ' Date of burial 6�5/63 Colvin & Son . Princeton, •-Ind . � �y x � . FLn:ml Director � ' .address . - "- . • l,•� �i �% � >,' � / !� � �SEAL • i �. � �Y'j�c:.�%�C G. `'�"7 _ � �Z,Q . . Signe � � �� . . �� " � . ' "- , , Gibson Cbunty�Health•Com ioner ..�. . .. - . _ . .+;,.'. _ • _ _Qakland City 'Ind `8/]��77 ' '; Rewrded ]ceally in book No. H-S� Page No.-28 Filed: 6�3�63� _ .. ".`�: ` � 't .. -� .. .. ♦_ � ...V"a. . :. ,