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Death Certificate - Mahan, Ermal_1/19/1973� �a�es'•++��iV�,�f ��`~�s+..cr. ' ;. -Td�.f . ! . 1 ::�ir .. �i•= �` fj [',Y l.FAy! i �t �'�:� rTl' ;F.. i`s ti a1 , t RECORD OF DE�1TH - ' �,� � . ., �. .: { •; '�" , �; " ' •; . '!:IESO\� COUITY.DEP�PTil'fEA'T OF HL:ALTH -: ,i,_ , ... � _ ` , : .�?� -1 �} '?.� � i .- PRIYCETO\, I\DIAA'� _ �� .i ,,: � _! .. i� .: . . ' ' ,_ , . ; -' +: �. . . . . i . < �� r ;.r � •'; , +, 1 _ . _ • . .. `f; ? _ , , s: ��` .TIII$ IS TO CERTIF'1, thaY�ou� records sho�d �•"� ARCH MAAAN •' '`� .,�t *. r<.-�1e�+-•' ` r ..� � t , ; ' � i . , - .' . ° �.. ' _. : � - ' • . '. '. � . , � ' ' � '. Z . ' . . � i 3 ; ' , Feb. b , �. 28F : . 127� at_� 3QEI7_Gib.�eri.• Hds � � , � ; E p —Prince.t_Qn; Tnri. i, - -� Sy ��month � �da} cear �' . hour'of death , • �.� street� hosp�tal rural � ` � ii J - . i -, t! a _�,:. cc _.��. ., ,f � .. 4 � . _ �.: , i .�y. � .o- .. ti> tj t., ft ,.a . . � . . :Age at Death y �77 'gex' Male--Coloi :Whit�� , r�Trled ' _ 't ' ;t ' �� .F -� � �eats � - � � _ ' - -- w�rite whether married or smgle � • ' r � . _ �• �� '. i '� ' "'i + �;` �': '' Cerebral 'thrombosis ' -�` '� � ' ` � . �, , � Pnmary; cause'of �death given ��ac t- ��. � -s:"',t' �ac s � � ; - :;- �r,� E m .. . r . ,e . �ri �� t� - i, �` . .�; � ;�' . . ::;. x. �_ ,.- �E, � e; ?' c _ � �Ft^ �9_' e:.- . . .. . � . � 1 . '•i r _ y �... S�gned 6y'=��u4.�.�tink�. Do .�' : . Psinceton,_Infl`� �` � `- ` .-, � i ;i ��T : ,�, . . r ^.. . � � Physic�an or coroner � .� ,.—_-- , � . .; addre�s i �:, � � ' ' l. � - 3.� :� �.'�-- �-� � ' �j � = � _ �—' � _ , . ` , �. '' .�....-r—_. ' `'� `;-;�-Place'of bunal'orRremo�al•�-- `FalTView ��Ri� -�2 .> p�1n�_�tQD�Ind. •= S `- z; ' � �. ' �t, � : : - 'name of cemeten'._ � '_. • � address : '�. ;f " � �r - � F . : .., _ ..'t , . . . . ; t 55 ' `.Date�of;buna� t�`•3/3/70 : Colvin &� Son r ;= . .;�' � � , �' � Ps1nc an�� , � , „�� . , Funeral Director' ' ddre � , � , i� _�i .�'= t ,-.. t I t 4 f ' — ' i ' • � �' _ �� SEAL � � . Signed �` ��t �'t r. ��. :y M�� s' Gibson County'Health Commissioner �i l �� '3� l. . ! . . � r �. -. . f J • �S S. � �i ir� ' �� s � s , � ,r� " . .' Princeton� ind. ' :1/19/?'i :� � � r�.t.. t 31.M, i 1�. , ' r !' ` . . .. 'addl�e5s', � � Y�: Date .FS i : �.:. ." .i � � j r �.�.-�a � , . . .. ..: �:.' . . ; -,.'C" .it i. 1 : .. = Recorded locally� in ;bool. No: � � R Page ATo . ;4 ' � . Filed: '—.-��111f�p " - - - `' a � , 6 t '. � � ( e _.-` E. {� . ' _ . t. � .`. . .�: f, ��'_ '' _e.^., •�r �f- �t p� +'- r .1. . ' • : s�' �'� �' ti) 1: . e _. i ., -`A� _/�;. t _ ��. < �. _ - �' :' � ;'t` . r : � „- . � * • ' , ' f .; t , t , , , � , ...+�,( f r�.. ��1 ' '' :y -. r '-1 �. . �� _ i _ � 4 ..r t �4.:"...5 "'€. s ♦ ;;�+ � - f i� � � � ,t � '��.. � . �{ - � � . :. � �} S.- � 3 �}... �t. �� . .�.. . ' . i � ' � -- 3 E . 1 r .�Lnt� �C i F. i .. } I � -.' 1 ___— .�y • ..F � �E. �-t �~ � � �� - _�`= ` � I n� _ �_ 3_ � _ 'j� •• . �S.", ..n. ._v ... _ . . _ . . . . _� . _. . . ._ . . _ . _ .