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Death Certificate - Livermore, Thomas J_3/12/1979.�.,.� t -I o LOCAL CERTIPIED ;'(� CITY-COUNTY DEPARTMENT OF HEALT'• � � � i � m RECORD OF DEATH :-:� � ; Cicy of 6�ao.rille-Vooderburah Couoty � i� ��7 . �� e ,,, ' .. ��. fivamrille. ludi�o. . . .� � � lr�. i;. 8419. � ; ; � .�. ,.� . . , i q This is to Certify, that oui�records shmv_ �_'___TH9i`'��_.I�_I/Z�7F'RMnRE_______________________ died n n � o ' a ° -----JAK.----- 19 1979 ---- °� ---12 zSQPM-- '- ----I^L�lkozo_ ., n ""'_"""' "_,' __"_ ef , "_""""_"' o � moot6 d�� • �ur hoar of de�N . �v«t, 6uv��+� o+ Ar�l r � � a Age ac duch___�S__ Sex__ Male �a�o� White �.__:•' Married ___ � ---------- ------ ------------- ---- - � . � leus � � . . '. .riu .E�IL`r m�nNd w dv�l�' ' " e � ' � � . . ' . Cancer 'stomach ;., . �� , •' . " . m � � Pnmary cause of dcath g�ven wa.+-- --'---------------- -,---'---r--------'--°---------'---- ----° � a �' ! � o ,�. M.. .• . � . . . . .�.'. e � " .' e m ` j B . R. D. Boone '; City � S�gned by ----------------- -----------------------'------ ---------------------------'------- � � � u oW�ki�n v med6lt � �' W�� e ` � a . . • �_ ._ � . " '., � s ' ' Warnock Cemetery� . � • Princeton Ind. ° t : Place of burial or removal---'---'---'-------------'-'-- --'-- -----�"-°-'------�- -------------- -� .. . . . . .,_� -.�,.:-r . _ ., - • ., ... �. _ . . . .,. .•_ ; � 1-22-79 Gblvin --- Princoton,Ind. � �)qtf nF h11f1A� �'�.""'�"'�' "�"`' ""�"""��" '�'�..',' � """��""� i� y.�� p�...ro.� � ; , � � /` -Io��%. fJ I -.,• •,. � '.o Signed --------------- �----1��--! JI-�"-------`-----'Regietnr. ��. .:II� �. ' � '�id' o•. . .�. � . .' • . ' : Evansville, Indi . ---1-so-�9 ---- . ; .; � Isfi�� ' � a �� --------e.0 ----- I� NOTE: R«orded locally in Book No. ---- 44 ------ Page No. ------- ------•. �. FEE $2.00 � Iriaou�wo�oueno�ummmm�u�nomuuuuuuun��nmunmmuta�nm�wmnuumuwo�ueo�e , �� , i,; _ �,t :I� �� :'f�; :�i;��.-_ �I, qi �� i!i- �I'.: �:I�,= +i� i,v -,.� : ,. . •�•: ,r r �, .,. .�� , � •, -- . . � i:�..i.�a.�._ � � _. �ii :�.li�'ili:..�i. - +i: , '..-_-.� ..-..' . _-•=--� � - . . • • . '', ' • ' . . . . . . . . . � ! P _ < � { � � . . � � _ . _ . . _ �_.� • .l ' ... � .. .. ... . . . � .