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Death Certificate - Knowles, Loyal Thompson_11/3/1976si'.:� ; ,�iE... , j` � _ .�.1 �... � �fi � iy-, .. :.CORD OF DEATH', 1 . : • . �'%�' GIBSON COUNTY DEPART�IENT OF HEALTH .. ••'��P -.. . � ' PRINCETON, INDIANA ' , . . "1. . . ' • . " . . . THIS IS TO CERTIFY, that our records show LOYAL THOPIPSOAT KNOWLES �s "�/" 2.. �...` �t '�� j� � .::i:::.; . �� 4" ��a.K! %'i.t.: ...1 . _ . ..w_,-, .;;.4 � a, . . - �,<� � , ,,_'. � ,: ,� . s. % :� ` � �� - " . %.;�:� �E�. ... .. • .{, -1♦ •....,"i _, r...: 10/20/']6 . ��' . ';'......: = at. 5�35AM OwensvlllP CnnvalPCrant Co„tor n. �ii �.I� � month �t day year �hour of death � street, hospital, rural �� s. s„_ , - � i_� � ', ', a.s: „ ,, � � x. �,, s : _ „r,'; a; .: � Age at Death 89 Sex M• ' Color—j�h� illarital Status MaTriPrts � :, .' S�'s �vrite whether mamed or suigle ,� = Pnmary, cause' of death given was �nedullary failure, instant ` �''- . . S- i$: � . ,=* - * . � Y . �lgned by r ' 'G.: O...Dickensori, �D0 � ' Owensville. Ind: � ± �� ' _ ., � _ physician or coroner . _ _ _ _ _ _ address �. . _ � . _ `�:' - � " �Place of burial or remo�al �- - �Antioch Owensville. Ind =, ��'�r'� � r ` .: , , ' . _ : name of cemetery . .: . . . . ... address � ... . �. ... � i': . : �`�:' Date of burial� ° 10/22/76 Holder Funeral Home Ovrensville. Ind. :'r �'' s :'. ' � . � . Ftmeral Director . - � " address • .. " . , - •'. . . . .. . . . . . . ,. {,' . � - � ,-� ' � , � - t' .��., � - , � l�(/ �'S� ��C G-. �%`7 %�'� ' ` �� . . , . . J : � i'1t . ' '� . .. . . . . .. . �Ci � 'Y.•T : SEAL Signed ' � � . � : � . �` Gibson County Health Co oner�� 6 M :., r t ... � � . - � F1��, " -ii z� �-. . , � Oakland City,' Ind. 11/1/76` �t .. 1`�'a � - � ��" *. !( f �: � r � . : . .. , . . _ . address - . . , . }' . kyf , Recorded`�locally m,book No. H-52 page No. 21 �tiled: 10/26/76 •`' .'� c;�Y •,'�,` ,: rc � 15, , . �. . . � � . . . . ; `- "' ��4�r S Ar.nl�� ^�a . i _ _ . . . . � . . �! _» ��F��f4;,�-k�M��♦ f . � _ . . . . t �' ." � 6 P s� a{ i.�_�y-�. � `cS ;:ti�._, b�,. .t�i's r � �. ' , ' � �. ' � . �. . � .ti . � z.....� �. 'e'< n�,.,._ , _'ir_ _,>_: _.., � a,a