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