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Death Certificate - Lofton, Guy E_9/27/19743�.: � ..� v r_. _ � ��r.-..�,,,� `t7ic37`'r -:. � ,�,�F„�aYy: ,�a�� :R . . 3 � ; - . _ ' '.' 'J �" ::.a .�1 , �. .YF � ..� . 3: •. � • • � . � . •r` •�� !t ry � RECORD AFx DEATH . , . ;.' , , . • � - �'� '. - GIBSOl\�' COUiQ'I'P DEPART\TENT OF HEALTH .. z.' .. ' . �? ' � PRI\TCETON, INDIANA . '�,:' � .-'"'. _ . � . � _ . , .. .� 'i. Guy E.. �Lofton ..:. s�,� ,'I'HIS IS.TO CERTIFY,.thaf our records slio«• - �. sept;•� 19.7�+..• 2� 55E+N wirtn Memorial Hosp. " Oaklarid,' Cirg � . ...� .,.. at� � � c;. �� _,month.'•%;day.-��year`,i� hour of.,death � � , � street, hospital;•rural�=,;;.;��;�:�� . �'S.'.. F.._"�. ' .. . . . : t:�. : .. , Age at Death 79 `' Sex •�1ale �.' Color White nlarital Status �Tried . . _.:�s .'*years .. �' - � _ . , - � . . .. . . - acrife Rhethei — .. , y` ., \. ♦ 1 a. . Primary cause�of death given waa'' CaTdiac, pulmonary failure. °� _=� '�r,� ?i;� F� '. .. � . • ' . • � k;T � Gary Houchins; D.O.. Oakland Cit Ind. �r. - . Siened by `" -- _ Y r _ � ;: , ` '-,'� ' r ,. .! Ph}•sician or.coroner . � : . . . ' � address r•"•e. � e.;:;� ,� . � - . � .. � •.. � . �.. 4 Place of }iurial or removal ' �ensville . Owensville, _Ind. �;: � ;, � �y �.�. : name of cemetery � �' . . � � address '... ��;� , �Date of buriat . ��9�17/7!+ .=-'�Holder��Funeral�Home • •• � ; Owonsville ' , . Funeral Director ' � -' " addiess�= "� c "'�- } . - .. ::� � � T.. ,. R J � � . .: � . - _ ..-. .#�. . � '. t /� ;, "� .- ' � � � } . ' . /� t <:: . � " � f ' , s � � � . . '. �� ' �-..w�'Y14�7f�� J � ` '` , SEAL" � z _ � $igned � _. � f �'-` ��_r r SY _-_� ',. � �_,. � :r� Gibson County Health� Comm�ssio �•l , i , �i ` -' 'Princeton,.,Ind. 9/2 y . .;�J � � r� H � _ i � .- . : .� . � � � � � 5,�'� ��' ' . . . � , . < .. _ ' . : : ' . address . :_ . -' � : i , '-' >.ir.�t, � , ,. ; .1 . . � Recorded locally°intbook No ` H 51 page I��o.• 55 Filed:. '9/�3/74 , �, = �; �' �� t�� i . _ .. �. ,i } �.: = i � .. . . i �. '�t • . . � . �. � Y u. 'yi ; � � .. � < ��. .. � �Q . �s i �' Lir ;. t it ��e�, li y :' 2'.. x. ��x d , _}. J'� .•. .. _ .,v...—. ... , _.... . .. , _ � .. . _ � �.;1 ..s..._..-.,<ii.�y � � =rn .. ;f i,. T ;f � r'-. T ' 'x' 1. .,';<< . � ?- +,�; �4 �,� ;. daG �, �z s >> .