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Death Certificate - Mans,Henry_7/11/1967. �- � J • .. F3..::.i�:it� .:'yi. t� l.�A^'w. i.�-•' . uA.dL � ' .+ .. -�'jV'e� t' '� . � i�'_:�.@F D�ATH � . =�;: ,: � ;,,=_��'.•" '�' CITY DEPARTMENT OF $EAL1'fi .� •• � �:;� ' ''i ' ' PRINCEfON, iNDIANA , � � ::y'L��:..a .. . -� . - � 1;.'. , � . �•�._... . � .... . .. �'"'i$IS IS•TO CIIt't'IFY, that our records show HRTIRY i gpyS _ �'�Aia:i''�� - :,�.... - • -„ ? Juls 8 1 967 ah:'i0am Gib Gen Hoen Princston� In4iaaa,i' -:";: �. ' moaNi day year hovr of death etteet, hoepi4l, enrsl ' Age at Death 7� Gex_g�lfl Color-3�hite parr�ed �. _` , y�� write whether manied or engle + . � .. �• Primaty cause of death• given was—_ Rm�hvse�a � - g;�� yy James F. Peck�_ti,_p. _ �rinceton, Indlana _ ;_ physieian or coroner addreae Plmce of burial or removal Y 0 0 F Prin�eten, Tndt na . � name ot cemetery addiess • I:StE Oi _.�^� SEAI. -' prin__e�t�n�Tnrif n_�a=_?-1 0�67 � �� address Bate . .'�,;$eeorded loeal� in book No 7 Page No. iZ9 _ •fi- Flled: 7-10-67 .. t: . `� : : i f �' �,=� �