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Death Certificate - Michel, Hilda Marie_10/2/1974
! <�i' ! �' i t t � � t. � ..y.. � f �� t .. . . •.._ � � �, ' � t. . - � � + � r � - 1� � . �.'r - 2 ' x - ! �i} . ! , �e� '.,. ��i ' . . �; ��.1 RECORD OF DEaTH �`� '_ '„ �.; S - t . . i ; ... 1 = - " - - , _ _ � ; GIBS01` COUNTI �DEP�IRT\IENT OF HEALTH , ' � �� - -.. �?:, .�.t.'..� . . PRI\CETOV, INDIA2Q_4 � - ... �' �- - ::�� ., • •_ _ ' , , _ , - �' .� . . . r:: � THIS IS TO�CERTIFY, that oui• recoi•ds show � � HILDA MAgIE MICIiEL=_= ,' .• . . . .-,� �Jurie , a�l� :..1972° at � RR _#1 �' Ft: Branch t�� 1` ,� ' �month .� � day �, . ! ��'cear � -hour of death� -� � � � � Ind� � • i ��a '_ r . - c� ` -..�_,r.: � ,z . I, .,�� strnet.h9y�`� -$ar ,�....,?` ti �'L _ Ii - _;j . i' i, >> �f„, ':, Age ;at"Death—:b_3 -_� Sex_' ^ . .`' " i � ' _.years ', ` Primary' �cause of , death given ' r 5 i�i t _ ' ' '- - . ir.t •'�, •�s '. \� •_)... .• . .�[ ' ... r '1 _�J:. , Signed by '. r R.'`E:� ileitzel� MD ' Princeton. �Ind. �`�ja �:;��. - � ; . � pF; sician or em�o�er -_ ' ' '_ �. :,ddress 1 � �i': .'+ '' Place of bunal or remova� I•lalnut HS11 � Ft. : Rranch, Ind. ��= ' ������ �' '`� " .namc bf.cemetery• ; s -address �` " . '� ... ... .�, '2.: ").:;.• : , : ��',�.� ;�� . .::.:�, ,. � . Date of tiurial=�6�19�/72'.• • Laib Funeial Eome .. ��F : BT'BnCh?.'`Tni ' - Funeral Director � � � t � � ." add J � i i � v r' , - ' , � 1 SFAL.� ' _ . -; _` i1�i�...! Signed ��rN� r�- "' � r ' • � Gibson County F , =�; ' " - �_ �, `I , } r` z,t . .. .. , .; , �� . •, �Prinoet�on, Ind. � '.. s' 3 . � � . t �i . _ ! -, . . .:. address � � � ,-� �r'`.. . {.. .. L'. l ; j (-..�z• ' _� } ..'� .� - �� Recorded locally �n book ATo �f.—�2 - '."Page_No 28. . F��e� '• ��'Si q , , � -, , . �� /t �F �> 3 f -• �' S . �t .a�. ..i .t,� �� ".r ��� ale,=Color___Ry�i_te • Married .. °. �:� , u�nte w6etlier married or single,'; �'�°':1'.' , ' : . .. . y '�.-.; 'i � -�- -- - - . ._. .. __:� .� _�. _i.:.' .tf �..<. .It � � } ° . '-^ ' - . . . j � t � :, F ,i `' =� s � ! � . �. � t'� ' 4 -�1 .� � 1 � } ��y 1 .1 �- 1... � '^1 t _ i T ..1 . ;�i }'-• , - � �l, !i Y . . .� 1 •j• � \ � .. ' + � �. �: . � _ ^ ' � . .wi ! . � { < t ' �� � t __ � .• i . ' . � t � ! . • . _ . . . . s . . l. . . _ . i A"s" -, ,� � , :: ,. .. ; ,.., . � . : : ;.= : .,, �1 �� � �� diei �i� � . F � 8!� -fF{b �t t{ . � ,�,.� �: .i= �t A.'ii.•l n ) fy M . . ��a . � �. � ��y '. ` =': } �1� � i . . . �.(� .. 1 �' '{W� i �`ir A i~ �4 j �� � t r� .... .���.�. �:9 � , _ -_ ;. jf t J ( E �� neFi# � r,{� i;;.�' r rii5 ',72�� tDate . l* i t e' 7� . ,;,,`= � � , ,,;�. s 1 ( .C,�;� , i i``y. 1 i :..i. � .5( � S I t �R ✓)ttis I . ��• ��� �i t � •.. �-�.� _�• ,•