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Death Certificate - McCarty, Mercedes_3/21/1973� ° .� . .r . 1 .. . ;. .� � , , � ,.�� •�. ,i �� , ��._ _ � - i � . f � • ., t ._ . ..�':, � ' s� � � �' ,_ - � ..RECORD OF,,DE�1TH��: � :. � - ,- � --�� - , ,GIBSO\T�COti\TI DEPART\iENT OF�HEt1LTH�--: � t;^-. + �..� ''' ! '�, . : PRI?�CETO� I\DIAA'A . t _ _ ' ; :' � � _ � '. � :�. �� . ' i _ ..�,- .t'.`� :��..I:�', ��:' i '�. t�'�+.1. -:i!' •�-^� e' � 1 � -1 THIS:IS iT0 CERTIFY �that� our records feho« ` Me:rcedes =Mc�arty' = - '� ' „ "-~! a�ea - 1� � ' : c : , ' .E _: , . - , + �� 'July "' ' 10 ' i�g�L'at 3. Lj!PSl-Gib �en .��osp. �rzncetoa--l�c�. � � � month day , � � ,e �ear � � _ �hour of death � street hosp�tal fural - - - � '��i �� . _ � ; ,t f� ,'i � � �;� ��--- � '- � �'1 - �� :i' � ' � � �i-'— � � � .� ; �i� � 1�' ' Aae at Deat}r" 7� •�Sex Female .!Color�•white- Married �= � � _ �� " years"'' �. � � � ' - ��--wnte nhether mamed or.smgle�� , � - � - .. . � '�'� �� 7..�1:.` .' �T `..'�� _.-.:'� . i.- t�- �I � -;y. . �' �� .. ` ' PnmarS cause,of death-given w�as gupture of� l�t_y�L�ttic.le �• _ , : �, � :' . � :. ., „ �. , ..i _ � - i � t '. ` t� � � � .� "`� 3 � _: 'Mvnr.arAi�a�'-iA-iBT-CY�.10�1� � - --ri -� - -°` � '', �.� ; t. - 1 :�i :,:,'. !' e,. , 1_ - . ..: . .``__` _ ' . �. .� S�gned by A�G GeYck' MD_-; _' ,��. Ftz��Branch_, Ind �' ,-- � �phpsician��,or comner� �� ' - �- address -- � _ . - . �. � . . , . . ,_. � � . � i - .. . - :�• . . . . _ � • Place'of bunal-or removal white � Chu�C_k1 �' ��'' � Pain_�@�0�1°` nd�. • � � -� , �� _ ' ' name; of ceme4erv i � � address � . ' - i �'"' � { .. � ... � � -: . " � �. ; . .�: �_ .., �t. .� " E . i .' . •- . _ _ � . � -�- � t . i� �.:'. '�i: 1 . • -Date�of bmial'-7_!�1�71�'3 Colv.in &=Spn ' p �--rI —''r.. _ - t - ---'�'_Funera6 Directoi� - =�ad s -- ' � " -� �', � . � � �+ T . .� ' . - . '_ . .:+ ��_i-. �. ' _ •�.�SEAL :,��. _ � ' _ S�gned ' •' �:� - ;�t- � , - {� ^- � � 1 - - •• � - � � �G� on� �oun ea o ussioner .; � - - - r � �i . .� •� . ,' ' ,I . � . ' ..� (L... .y � "" , . '.' .� 1- r. '-^� � � ., � �Princeton�_;Ind , -,, � i' �2I/7-3�-�-�,�: � , •E� ' �� ' --'address'� � , - J � _ - � . ' Date. _ ��. ., �l. . : k .',Y � . ", '• . � . . `... . ; . ;- .l' .. . Recorded locally;in book;ATo •8 - -Page 10: �?_-" �led.:�,/_uj��1 '� _ ' - � � � � - � � - , , - ,. � � t� � - � � "'l��r.� = i. -i- � .. . :r., � � "'� � i� :i :i� �. t � � . Ia.� .�.. : , `M ' Y t t ., ': . , � _' , _:, ., , . , :� � - - , � , _, -- :' =, :, ;� �_;- - `t - - - `,er - - , - , " , : =;- -r- ,, ' 7 =: - ;y�, . - � - - - _- .. . ___-.. . . _ _, ._- — - -• _ _ . �_ ,__. _. ._ _. �.._ . _ . . __ . .