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Death Certificate - Mauck, Carlos Elbert_6/7/1982�EI ~ }/� L!� .L. .. '�i ♦. f� i { � f�i.- �� [ S a� � LOCAL �� t '�. �',1 ;..,`"�ti ';t �� t Ett ""gi� ,'•� tf�r' :'i�� .`' �`i" kfs ...s? . RECORD OF DEATH ry�� i�,.,,�,;��_ ..�;� � :,,�- .. — L . ,- � . . r ��,� .� ti i! i.. ;. � Fe .'i: �f Q Z$:° Di� �": t!i zr ' ` �.:—' a�GIBSON COUNTY� DEPARTMENT.OF HEALTH��-i� � .. ' ; � : >ii� �"=35t �. �a� � .#= PRINCETON. INDIANA• ��' =x: " -:� ..'.Pie�.� . , �. _:�'T-"`Ye� �.._�..� �[�r i i z`g x 2;F -"a , TH1S IS TO 6ERTIF'P tuat our reoords show �?�Q/�,f�{ArQ, ..t�F�w�L�/I' �, , � . .. � A ` . . ... . � ��._�f� �+� �` � �Al...� at ` �. � ./. � � ..... .. Y; ...... ........ monfh ".. - f -.r .day` �. `; Year { . ..f_ hourofdeath� ' � -street,t �� . F !. .. rl � .E.�� � }�... � �x� # .f. , s�a_ a� .�i //�/�/�. y���/'��� . •. j(�� � ` ` ". J :�$¢ BC dC81h....l...KY .SPS.i�!Se�YfL! . COlOi.�/frffLG.2 ,...�,.�./,��..'y[{�.}�}.,,�..fKR. -,': Yeara.y �:, .� � j,• 3y: � s ��, write whether marrl .. � 4, �. �}F= ��� �r {. { � - bt � '�`� : �I.I (� -- r Prlmary cause of �deatRi glvea was. .. . j 4 i �r,r ` .i[ ' . - � . , � �s3i . d i -�`-Ya� 1 e � . . S .� * �� . _��� � .FSf1� _� ttt3 � s 4.. � � : � .� r .l 1 4w i't �. ...... . / . . . ' . si � ,-��,, s>} %�' .- )r •�� ! �r [c . tS� slgnea bv � .. � . a �..: �%[ '. /�..c�� � �, ` � ... ' �r� . ,ii . D� Or OOIOIl¢I :��x= �� 2� ^ �e 1�' dlPS3�. .'.)1 • s .. � r �e >� -. z.t ' -�ti?a �� . �` ' � '4 � r +: � r � s P�BCC Oi blll'191 O�'SCE�►G� i �. ...: � i�� i- ° n.. . ' . � a r .��� Oi CBmn}nsv+..: �. _ �._. t[ �_r :.. .u�...�:"'c�a Date of buriaL ��pr',/ �✓ !l! ��1� . ,_ �� �� 3 i:.-'C FFVne��:Di=ecy� r � .?"—��' -ra�4d ei: . i�,:.^': _ (ssa%,> .,.��:,A, t.i.;;���s €���_ �i -, �, ' �;:. °ii�z�S-; `�`�,-.��.;� ... s.. + ; : �..�W "Y 4 � ��f � • _ .�i {t`�(. 4 ��j �'a Sl� tihf._. Fg� ¢._ G� � , . � �� � 1 � �.�. «r ��y �� `' �9�/ i�{} .� iji ' Recorded local�p.Sn:book lvo � %Lt; 'Pag . � . • . -� i� LB� � a f >. •— � t „;; T . ` . .i ��e�� ScAx .. .F; • r ir��l2� r �i-�y �.}�l 'i3 �1� �ii ' " �t 2, -i. ..� � . • t.2.•. .!..,vki.�°C_s}�:..'^`i�eo '�fS��`� � � �.f. /' w ri ""y . � r,; _� •- fs: �5 �} F�F� t�2`Tiv� - i �. � u„'.' t- �.- t. .: f� _ ��t �si� ��S <a. . .. ��3 ?4 ! ;;. r{'=.�..�,.�-� =fs �#} .j, � - •-: .`.,�dted 4tc s;' ���',�� ��� � o � y _3s 1. * �, �` .,-' � ..��i ` tt� . ( 4 ed or atngle i� '! s � , ` � ,�r sf� ,'g - f ; � S $ ,�� �•4 7 � [ . e a � .. ( � c , _ ; � � i �-it ..5�� 3 -. a'{ Fl � 1 ' `i'-T'^-�rt�r� /i% /�'- ��. �t' i .. . �' � � 1��' �-:LLSi2 .:'�.,..�i..,...lif ,... • �_-ia_ s-• 3 � .��3�- ' }'. 3 : j�,. � - �,t a -. �! � �4� �� ._