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Death Certificate - Kidwell, Ethel Mae_1/14/1976 (2)� f; e } J' ' :+.. .� ` .. , .. . ,'.. _ t i • ti}� x�'v i , _' . � � -��1 . RECORD OF DEATH � ' " ' ` , ' . • . _ � � ;.: �� r � '�"�' � � '" ' � GIBSON COti\TY DEPART\1EA'T OF HE:�LTH • ,_ ' , � - .. _ rizt�crTO�, t�Dta�.a , :__,,.�= ,,-: r . . _ , _,;: ' . . 'f -,;.��` - - THIS IS TO CERTIFY, that ow�'records show �T?icL Mit� !:Ii�:1�LL . _�"��' '�, �d�� ; : . , ``'� Jani.ar.v 6� 1967 �t2:30 AM-Uibson Gen Hosp-Prir.ceton,Ind. _. �\ month day }�ear , liour of death ' , street, hospital, rural - Aoe at Death � 5� � Sex Female � Colm. G'!'r�ite Fiarried - ° : ' . years �rrite �ehether married or single-" . - . , . . -. � ' . . . Primary cause of death gicen was_ Mestast2tiC C�rcinoma of skuiT, ribs, vertebra . 1 . Signed by R. S. 'McElroy, M.I;. Princeton, Indiana � _ � ' ' �! phy-sician or coroner address ' � . . ,' � � Plnce of burizl or removal�'osenh Cemetery, Princeton, Indiana _"+ '"' . ' name of cemeterc address � ' �-' Date of buriat 1=9-67 Colv.in Pi 5or fiortuary Princeton, Indiana .. . . . .F�neral iDireclor ' . address � SEAli Signed—/� l��'L. l p�' ' . .' � Gibsnn County Heal�ssioner � . ' �. � Princeton, .�r.d.iana 1-11-67 ' �,':'�'` � - . � ' . �. . address � � � Date �. . ., � . '' . . . . . _ - ' Recorded locally in book ATO. � page No. 1b� . ' r iled ` 1-10-67 � � : 4 ._ ___ .. —_'__'_.__.._—_.— -;�r. �a7.: "_'' '. __'_ i