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Death Certificate - Miller, Gene E_8/18/1975;. . : . _ •,oxv or �nEaTx : �� - � .. �'�� • . ,.:, . ".�-,•'.'6'.. ., +�:,,� "l GIBSON COUNTI DEP:1RT�fE\'T OF H��1LTH •'•.�:; ., � ;', " , � . . .. .. ' .. PRI\GETOR, INDIANA . ' . . - . . . : '. . �:- - � .._ , _ . ,, , ' ' S,„ \ .. '` . �','` I. : S' ]5 TO CERTIFY, that our records sho��— ESCQ �UGEA�.�_-��LI�E�_____ ,' died � i �' : - � . , . .. r . . ,.�Jan ,' ' �26; 1973 ''at_5-30At.;_202_:Jest'.r�ain _—�o?��,—I.17_��—_' � � � month�� dar ` � cear .' hour of death . � � streef, hospital; rural� . . , � � . � - i .. . . � � - . � at;Death '�'� ` 5es . Male---Color_ �hite___ .' r„arri�d _ _ . . - i� � y�� -. � . � � «�rite �chether mm�ried or single • . ': -}; • . . . . � . . � . .. . .� . . t... '�''. .:�. - . - .. -' ; . � . nail cause'of deafli given �vas'_—.."mpkLysem�,__And_chr_on1C--bxorachi-t-is ` ' . . _ � � ,. � �ed b�—�ame��p��k..--MD------Princ.e.ton., _Ind-• —z ` -- — — � �. physician or coroner . - � � � �'""� ' ' addre_s . . - , , ' � .... •, •„ .-.. . -, .. �• � . . . �:e of burial or removal` �� Warf Snear)_pec_keT�_KnoB�_o.._;—ind;' � " ' ';'' " � name ot cemeterp ' ' � addre=s �! l _: ,;�' - '. - � . . � {e.of=bw•ial:��'.�.1Y28/73�aiv�iall__._F_uneral-Aome � Princeton, Ind. - ' • ' . .. . ' � Funeral Director . . ddre� � , �� - I ��nU � SEAL Signed_�!��`�'' � ,f�� ' . i � � � � � � � Gibeon Co� ea�mi��s oner - ��`�i! .�r Tt� i5 x."' .P "�.i . , �� ... -. .. ':i.. t{` ; � ry.`ftj ht '{ : �:.. � Y .:, . ' . ,' Princeton, _Ind '� � ',: ' address � - ��ate . ; �� - .i` _�, . .. . , . �orded locally� in Uook \o. ��—�1_—Page Vo.- 36—Filed:__ z/_1/7-3--- ; . . , i . ;.. ' ." - ';:. ,. . . - i.._ _ . `" . ,_ ,:..vre�- .. _. �: ��.A . .. n,.�t,. � �.; ,�.� � _ . . _ x .. . . . . _