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Death Certificate - Loyd, Martha Vivian_11/28/1975
RECORD OF DEaTH + ' • , �GIBSON COUNTY DEPART\IENT OF H�ALTH � � � �� � PRIVCF.TON, 1\DI9N:1 � �. . THIS IS TO CERTIFY, that ouc records sliou� MAR1H/1 VIVIAN LOYp ' �1e�: _Julv 4. 1Q2:_at�:�Ilr2n: � • •. �, . �� month da ear hour of aeatn -"1�'—"P�.��'.OS°.—��.nc�ton.; I-!ad �% Y Y . strce'�, hospital, rural /�� . Age at Death 61 �� Sex "'eTale Color__ ihLta �4a.•ital Status T`�rried � ` . _ years . �crite �chether married'or-single . ' Primary cause of death given was Slentri c�l a�• arrh�y Lhmi�______ • Signed by�.. � 1aWd i�n�a,��r,- `+'n —P�LncetclnT�n� -- -- -- _ . � � physician or coroner - . address . . ' - .- ..; , . . , . _ - . . � . . � ' i; � .. . . _ . ; . P12r.? nf hurizl �,•.,•A*necsl �" - Cnl_umbia �7i1t1*rh�� � • _ ?r�.nC°t^n�.--Ird-. . -. � ' � � � � name of cemeteiti� � - � . , - . address , ' . � , . Date of buria] 7�7/�'�—,—T—. ..?� .,-�a-�i�{tta�-ra}--�s..e r��nce�oxi,-3-nci ` . � � - - Funeral Director addre=_s . SEAL � � ,/[�� � /'Q ' $igROd " ���'�`��' � ' , Gibson County Health Commissioner Frinee*,on, Ind. 7/27/73 � ' . � . ,' , address � _ date . Recorded locall,y in book No. %� Page No. ^� Filed:?1•?��0� ` a t -�.l