Death Certificate - Peed, Eva_7/3/1962�� .
Loca�
RECORD OF DEATH
�� . . �
CITY DEPARTD4ENT OF HGALTH
PR[NCETO\, INDIA\�A
THIS IS TO CERTIFl, that our records show
month
Age at Death � � Ses �7.
years.
Primary cause of death given �ca:
Signed by -- - t-r-//-��,.,n> ,
- physician or c
Place of burial or
:n5me of
±% .�_ .
year
of death �- • � street; hospital, rural
� . ./i%ZQiLh� /� . .
n-ri.e �chether married or: single
address
address
Date of buria � /
� � � rFt�neral Director � � address -
� o �, /
SEAL • �' Signed � �Gc.R'�� �"�o%�-�� Secy.
-- " ' �^ ' �r�.«-�`���� ��� �� Z.
.. . . . r. `�� � . addiess _ � � - . te
Recorded locally in book \o. -t 7 '. Page ATO.� �— •