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Death Certificate - Maidlow, Wilma Claire_12/20/1965. . . • r . . . . . . . ' . ��-. ' ' ' . �� .. '. . RECORD-OF DEATH - GIBSOV COUNTI DEPARTIfENT OF HEALTH - � - - .: � � PRINCETON,INDIANA � - � - � . TffiS IS T CERTIFl ,�that oui• records sho�� `-'-'��/_��—'� �''-�w'-� � ' _ - . ie . . /tcn �ct�'"a,--�. . - � � s�r —at �� %�� mo . . _ -day - - � � - . year _� , ' _ � hour of � death • - � _=tr , :hospifai, rural Age at Death�h Sex��P2%�— Color ��-' �.�� —' .. � . yeazs - � _ � � . � - write �chether married or inele� . __ _ Primarc cause of death given was_-�c��u�'_�� *-��—z•— -��-��_� _ Signed by Lc � � ..� ` /�ilixt�Gl�i - _ ., - � physician or •oner ' - � address Place of burial or remocal G2� . � - � . , n e of cemetere ' �� . - addrese " � . . . Date of Uuria.'� � -�-`��i " ��a-Gttix� �� - . , � -- � �..'� � _ ��-! Funeral. Director �- . addre�s - - -� � � ti. �.e-�-L.",_ 7�,z/.s'3' ') �� ,�� / )�,� �) SEAL Signed�i�// ' /'� � /1'fi�l, /�/ -�/ • - ' - _ , � Gibson Count}• H h Commis��oner � � � - � _ � � � �` c��' � � � , � �� .��. : i� r �.�' . . . . .•�'.�". � . .� - - . addrnss_ � � . - - �� , � date _ �4. _. .' . . . . � � � - - ��s Recorded Iocally'in:book No. Page No. . • . . ,