Loading...
Death Certificate - Mounts, James A_3/24/1973�S a ;!�TT3S." �a�L 1, t..i!" ,3.. 1 ' . . � r-.�3 ' :', `� .. _'r . _ _ � •f { ti.. t� � .�r.. a. _ i �. -. `{t RECORD.OFDEATH�' ��� ��. �; . . ti -'� � � � � . k : . .+ - . . , J' ' . . . " :--+ �- � = — :: GIBSON `COliNTl' DEP9RTIIE\T OF HEALTH • , + ` � - I�� -�- �S-.' � V� s'r� ` .PRI\�CETO\, I\'DIAKA . , . .: `. . . " - . - ' t .r.� ..:�� �r�_ j' � � � . . . ' .. .. . � . . . .!'.s .., t3. r.: t �.: � .., .:•. . '. h� " 1 .. t . . ' ' :: _. It� THIS IS �'O CERTIFY, that our records show :� Jemes A. Motlnts '�1e� ' -y.,���- �. � ::: � . . _.3 . , - indiana t-i�.:+�",3entember� "18+ 1966 ,�at 7:15 PM, GSbaon Gen�l Hosp,Princeton, _ ^ ^ � �; ! ,.� mont6 �_ � . , • day .. _ year ' . hour oC dea:h � t � . -; 1: • . - . �. . - : • . . ' s reet, hospital, rural 3-�� .�2 ^r � . . . . � � .. �. .v : � � "' . : _ .. . , . j���ge�at Death��{, ��'��4e�MB�Le' � Color_Wh1�9 M&I_I'ied ' ' � � �- . , : ��� �� -�`. � „yea� � �i. .' .. i _ _ . _ •.« : x�rite �chether mamed or smgle - � - d I n H .. ' ' � ' •' ' ' . -. ,. Pnmaigt Cause of death gn en µ as ' Mys�CCePditlB '" .. •� , �� n � i= ` , •, ` i1L i yi If:t,:�� � ` F ;� �� � .;1�"s i. .. 1 � r 1 � '1 ' • ' + .�_.�. f 4 .��5" .f» s -0: T f'_ � _ ! '' i. � — `!� � :'a..�t'.ai� �' S( { . _�r y- ^ _ � . �T�_... F •. � -. .. � : w � .Xr �� $ign`�,ec�tiy ��4i»e H (3raQes-,H.�. � Pririceton;_,Indiana ,.�.� '� { - � i •'phyeician or coroner - �. �'� - .addiess� �� °� +_ �"" ; �4 .� -_.2 .,. . .... . '�., ' � . ,_ '�. " '• . .� r . . . ,iii Place of hunal or remov'al f µ.:I . . . . . � i �. ' • : , i -' } 0 0 F Cemetery ., . Princeton,,�Indiana , i .i� r t • � i� ° � name of cemeten � • i , �_ ' . t S.i4 -- -'- 1 � �. �.._. r _...44.,:r—�. ' . . ^ ��.T ,- ��i: - ; . .;."- . : i�' . .� address ;._ } : '`, i }�;DaEe of buna� •-9 20-66•-• , Kendall Funersl �Home . Princeton; Indiana :`. : ,' _� c '- , � � ! r, �t ,.�- � „ � _ Funeral D�rector ' , ,� dre�,�/ C� t �1 �i.,�SEALiI t;!t: ;Filed:.9-22-66 . Signecl—l�L=�E�C.�.��f'7� `Q' + ` �'"���t . c!�� t �• �-, �}� =� �+ � - - � Gibson County Health Comm��s�oner : � t : •` �,,,1J _{ti.. s. _ � . �t, .. ' .i , . . ' ' � . , . : . _... ... . �-�.� , - �°: . �. s 1r -.,, „ , �� .i —Er_inceton�_Zndiana- Sevtember 27, 1966 . #r... r� ». i ��-' � y ' � _ � address - � . � � . _ � � _. , . - datr. � r � T � ' . �.� � h. ': � � � i . . p . . . . , . . . � F, `. r�Recorded locally' m bo'ok No,� �7 Page \*o:�_� . ' _ :i• F r . , r � , . : .i _ 4 �}.�� r1 y.. .M e '` '; � , . . . , ' ' . '....f} ���_ ' . � '' � +� f ♦7 r .( -. ' ' . .�. . ' _ � 4 .� . �7. " . .f�.. �j . .°�: ' " - . , .. ., - , . r. s . �r 1 1•'� (.� ��• K. " _ . .. ' _ t •� ,yr. i `j•.' t ' �� J �'��- . .. . , � �_ .- �' .. �, � ,_ 'x r �' -- �.i. — - . – .. -----. .. --- _ � ----- �ti !' .:� rts.r 's .. - ' . . -.L. � - : _ � . . _ . i.. ' _ _.. . , _ . . . . � .j :�w z..:f�.. „G;. �z... , - ' . . -