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Death Certificate - Miller, Carl L_3/12/1973:{, ';t: � � .'�" � " � .,. 1 'I!: ' � I� ,1. !" ' i ' _'i''"�' . . �' 'l - � _. .j' . .� . ' t'�-�' t � ' ,i: 3 '.i "• � '" ' . � 7, _RECORD_OF•DEaTH .,z `; �'' � _ ^� � ��' �� +GI'PSO\T COU\TTY' DEP �RT�fEATT OF H'EALTH V � �- �,� i� •� -� �-r� �`- � � =PRIVCETO�� .IVD[AVA.r� ' _ ., ' . �. I�_ ' -_ _ ' � , ♦. ` i ' .. , � ' � '_ I •_ � L � � � l . � � �. � � j � � � . . _' ' . ,_. � ..�', .. �' �. � CrIRL L MILLER� '� • - THIS�IS•TO-CERTIFY; that oai •recorcl's slSOK - - --- _ • . . � - `."diad . '�. - � ��_ �: : � �. �� �: ., f , , , t? : : -. . . -June �'„- -t�8 = _. 19'JO,, : at 1 s.0�)pm _?_0?� _N.. :Race St:., Fri'nc `�month'::� ��� -.'da�� .'�- �ear�..�� ��.� -':honr'ot-death -� ' .' 3:_"stm� � j .. � � . ..� � .- . „�., ' = 58 , Male - ' �'White; � ` ' '�ar•r-ied' Age at Death ' �Sexa Coloi ton.,: Indi�na�.-: _ .: hosp;ta�;�nra�;-.._- . 1, ~ . , - . ,- • �: - - -- ._. _ " � � . n-nte� �bhethei ma=iied �o� sin le : i � - � ' - . �}ears . . . ...��. .� ,` g . . '•' t , "� � :- + -Coronaiy'Occl�si�on . (l�hr )`..�� �� ' Pnmary :cause. of i death ;given was • � � - - � -' , � �� ::t• � •;i .. ... �-.�:� �" : � i i� - .� = � � . . ' .- . . .. . ��� -- ' ' '. '_ '- - ' ..� ' �7. :I' :i _ � _ .• , ��. , .�.!i n . '�1- S�gned 6y�3ruce BTink DO' • � :Princetorr, �Indlana= , �• _ . , e � �. �': � � � :. �phvsician or,coroner:, . '�• - .� 1' ' address �' . - � ^ - Place-of,burial�or.removal • White"Church'Cem' �"' ��Princeton;••�Indigna` _,.. - � ' � ' �" :.� + " � -'� �.name:.bf ceineter} � �'_ r _ � � - � Z - ;. ,' address,'_. � � `.. � � :.:�'� "'' .'":.1' .�.' ..� ;.: . •..- ,.. .._. ..� " .1 ' Date of�buna��'T1'/,T970-•'CoYvin'-& Son� _ :_Princeton, Tndiana '• _ __.� , p: . -:�t-.�_-�.�..�,�..:. _...� -fLneralD�recfor .t�� -- ad �ss" -.1�. ,i:�. . �- '':'t- •' � � •� _ � •'_ � ' _ vi _ , � � ��1 � : ' L ��e^-SEAL � l � � � � .: � i _ ' Signed . /Ui% . � . i � . � � ,1 - � � • � ' � +^ G�bsort�Gounty Hea Commissroner � : . . , � -'��.t• �1 i._.. I'� �i�- 1 �� I. ,� :� , '. � � _ i"'.'���'.u��_ ;4, � . �" ' �. + , ._., _ " __Princeton, _Irid•iana 3/1-2, 1973 � ,:+ � ss , - - i � � - I ` � � � address - � - � � � � - Date� - t�ti � ��. f� � ! - ��. i( � . �"DI1� . � " .. . . 1. � . � �. � .. �.. �' '"� �.`•+ Recorded locally'�1n�Uook�No �+ 8 , - page I�'o - 9 �� Filed: 6/12%19'70 � � . � ,:��• • . - ,�z_: . .: !_ -r , .�� - ` '� ':i' �}t .� ��. � � _ , � - ^ -� . 1 � 3� .. fi�" , I - _ � - . it° i .- •� - .L .l�'""II .`; � i. I �" �r .' ..i� _ , . � i� . i . � .i .�..1= ' !+ �._ ' _ '_�. ' ..j .1. _ _ + � . !� . _ . �'_. .1 . . � ��• ^l � 1� . '�f., �.. . •�lnll � �'•'•..�. - �' �• • r. •- � .� \ � . . � �_� , .. '� � . . _ "1