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Death Certificate - Pouder, Leonard J_11/8/1973';� te.i _ . . .. . _ .�� > t c'y ' C: r ., -. y � . . . .. . . . . �. � '� . r -. � '. ' � � . _ .. . R. .l:i RECORD OF•'DEATH ' • -' .. r: � . � - GIBSON COUNTY DEPARTMENT ,OF HEALTH . �; • : = , -- � . .. . � i' ; . . ' . - .PRINCETON; �INDIAriA �„ ° . ' �..i i.- _' . . - . . ' _ :t . i.. � . ,y_•. "' ' `' _ " . ., . y . ,. -_ . _' . � -,�THIS IS TO CERTIFY, that our records show ` LEONARD� J POUDER `°'- - > . � . _ . ,.�,,..: . ..,... Nov. .5�,.;19�3 �.= at 'lOAM Gib. Gen.; Hosp. Princeton, ..Ind .�,� month �� day 3�year � hour of death �, : - street hospital�iural. ��j��y ., s �'��r �- ��t��, -. , �" . r .. ,�. .:. � ..'._ � R�.r'Ci . 'd -+r+G I '. a r` .+ ,• Y yi • Age�at,Death -78 •� ' Sex'� MaTe - . Color�� Wh1te Mantal Status ��=� = � �. years . " � � . t ' wrlteVw6ethe -- .;` �...� -;; .. . . ,_ - .; Primary cause ofdeath given�was n .. ., �w ,, e#�' .._ '�'�`#�:'i , ,'. t l. � . . .-. . .. - .e .. Signed by�'- '� James F. Peck, td.D � �Princeton. �' � � � � . � physician or coroner � , , � ' , ad S �. T : '_.� - .: � . _ .. . �..: •. ' ' _ ' � � _ � ; . . .. . . , `r-. . ,. Place of�burial or removal �•- Manl e H1 � 1 Pr�pr.Ptnn �. ."� ' . ". . name of cemetery.. - - . .. . - . 'ad � ,.''..a t` �,,� �-'' , _ ' � . � . . �' _.Date of_bunAt-'J1'/7/7� . Co�v�n &� °Saa•• , Princei t Ind. =s`� dressa, `;.:-�`,' . I�� , -�� dresa` •}_'"' . , a � i'?.":� . : Funeral Director � ' ' , . ' ' address .' � ' ♦ 4", ,' � S ~ ' � ' . . . . . . � . f - !. t. - . L' . ' . . . � /1 . ' . .> : t,. - /� i � � - '- .. . . . t // /� ! + � � . - � ' /;'tU��4"i SEAL ` . � ' . _ Sigtted - ;r .+ ., .z, � _ . . . - _ _Gibson C ` .F �-, - .. - . • . , .: . :;;=• - r _ - Princeton. �� _;: l! 'j unty: Healih`. Con :_, T.:ai 4:�.�. iF+ iv�, �� S�], j��},• x t � a: R i , � ,� ;� ,r:; r-�Y.3 `�t4F . . 3:. � . . ?_''' - :r - a4e'a, �'�-, t, � ' '�. ,g ' � ��y�s � �g _ ?� `+ !�"�=� � ti: l9�•��'? ' : ed. or;.amgle � - . � -r , z: ,ir , j _ � S' x �� a. rr :i�!..-3;- 3 ... _:�„ Z� a� � ''=. . - � ,� `>I <, K r, :..,... S ,.. 4 � i �i s:. ; i,i r v � � u �: �i' , ; . i ,y,. t:. . r� address• �.� �.date �.- - '. t � '� "� �4�- : . �, . , '� : � ' . � .. �_ � ._ � � ��- Gr E . . .. ..tf ;r .�,� rt ; Recofded lc�cally m •book �No. � page No $F F�led. �}T?.�:?�` � � 4� , ' .+' . . _�. . . . . , . -!a:}� ` � i '� .stf«..� — :r ti . - . . • �, ;, t ti" �' ..y. ' ... _ .' .. �t;^""� .�.'�T,S {. .� �� — . . ; , .• " - � - .. r .... . � _': ;.: �Y '{i �� . �... .. . ., , . . . . �.- .. .� . . . . . . . . . e :� _ _�.�_.'_"_____' ' - •. , . , , � ,i � . . _ ... . _—t_ _'____'" ' __ ':_"' _— .-_ _' —__ .��_- "_..r`.__— .____ .. ' , . , . . - _. . . . �. v. , . . .. . . . '�..t ._.,. - a..-�-. r ..- . . . ':G•q�}.:'• .