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Death Certificate - Mason, Emma_12/14/1978
/' � � f— '. _ .— ---- — --- , � Itt:C01tD Or llEATH . 7 • � GIBSOIrT COUATTY DPPAP,T�IPNT OF IIEALTH � 1'RINCI;TOY, INDI,\NA � 'CIIIS IS TO Ck:RT1FY, th�t our i•��co�ds show Ehti���N NASON j died ; 12/1/78 at 11:45Pra Gib. Gen.Hosp. Princeton, Ind. + month day �•ear ' hour of dr.dh nlnrt. hoapilnl, n�ml _ 1 Agu nt Denth S6 Sex fie• Culur "�• Nliirital Stntus l'lidowed 3 ycare write whether morried or ainqlo 1 � Primary causc of death given wns ACUte congeatyve ea�t £ailuTe � � Si�ned by �• R• Wells, M.D. Princeton, Ind. ' phyeicinn or coroncr O(ItIMAA J� 1'lacc of bw•inl or rcmo�•al_ New Liberty Coc, Ind. j name of ccm��tcry p�J�� � j Date of burial 12��'�!8 Kendall Princeton_ 7.,r� _ � runeCH1 L1ipC[o! • �ddre3H i Gt���l�>zCC�. '�G't/�� { SEAL - Signeti (/ 1 G�bson County Henith Commissioner - Oakland City, Ind. 12����g aaa�� aac� � Recoided loc:illy in book No_ 9 page No. 73 �led: 1z�5��8 ,� ' i -- - -- -•-• � - � ---- -- � ... �----_ .,...,,,—�.>.�,.W..�....V. , n -. � t