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Death Certificate - McDowell, Chalmer Ross_12/7/1973�. � \
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RECORD OF DEATH --- . � � ' ' "L ' ` ' ' -
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- - "-- GIBSON COU?�'TY DEPART�IENT OF HEALTH .-=?_.=; =`=;.:=.:� --��'-=�=:`:'
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. .. . .. . .�. .. _. . ..... . . _ . .. �. - ..._, . �. PRINCETON,' INDIANA-- � __ - _ -_ , _ : %' � • �'-.�_:_ .. ' .
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_-' HIS IS TO CERTIFY; that our records show �' �H-ALt�FB ROSS E?CDO:JELL = � � died "_
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� . � month ' • da9 :"-9ear - a 2�=-• hour � of death - . ' - � . stree , hos �tal - ruzal- � %� � - - � -'
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~Age atDeath` 7�+'- CPx - tTa1e �---�Color dhitP j�aantalStatus •'- —` -Dsv,,,.rAd= ` ' _-
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M'�Primary cau`se of death;given w�.a � Cerebrovac�i�lar�`�rrt�tP.,t; a�„tA �' { f `=
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--~Signed by~ - H.- A.J.P .,, - ' - } � ` ; � �� '�-
. . -'^' .. �:Physician or:comner . . ' . ,ad ss �_:_:r�`____:^'--: —
,Place of burial or remova � '. _' . � �' -
" . � name of .cemeterp , ° � diess � i ' ' � � , � '
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Date of burial 7/1 K/!i'� �'`�°7`••`_.Cot`n rn - _ �• .; _,-,. :.-',_ ° ! a
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. •�SEALI ,.s�l i , --� - Signwi _ _ - _ i
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�- ',. � - � �: r � Gibson County-Heaith Comm�ssioner �- -t
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: ' � . t f - _=Princeton,' Ind ' -` 12%3/73 '' : -
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Recordesl� �ocallylim book No H 50 - aage_ No 99 Filecl T 7/�F � �{ f f- =L
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