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Death Certificate - Puckett, David M_1/26/1973. _. ...' . . ; _. - .. �. . �, t�_ '.i _� ` ' .. .f� � . . ,. . � ' RECORD OF;DE4TH��• .• � '.� .�� ' :'� a �' . . . _. • °GIBSO\T COli\TY'DEPARTb'IENTOF�:HEALTH • ' � .t; , � � � � .�'..•�.. :;,- :�...',:' -.;.- � ,-:��PRTNCETON;�'�INDIA\�A.�=� - . r 'r"� • . _ . . i' THIS•IS TO CEATIFY, that our:i•ecoids sho«-, DAVID'M �PUCKETT i ,S •+ .). _died �•" _ , , _ : � �= .i� � .- . 'i .�' ! •Jan �- : '.-14 ' :: : : r . _. .� t '197'i at�alOArg '-i �4 S.--_P-Tixice-P-r-ir�caSen�—�� month..- � �da} � �ear:: ' hour of'death� � , street;�ho�p�tal,.niral'—��— ' . . . . . . _ . . . . � Age at Death' 9i '' Sea' '�ITale - Color '.� White '= Married -� . • � . - • � � � ears � - � ' � write- «'hether marned 'or. single` . . � .. �_ � :'_.. � - . .. .. . .. ,. . . ... .;. .. • . . _.... ' .. � ::: , . .. . . ... �. . �.,, . �. -Primary� cause.:of cleath,;g�ven «�as ACLlt2,_'C_o.t7g�eS�_�Y� heart�'a.�u�@ . � . r - , .. '�,' • . . . ��- . . ' ' �. . , . ' e ..l ' , . r., . `. . . ' .'.. �..' : --.. " . _. � .� . ' . . S�gned by • R. S.' McElroy ' NID= -Princeton,__ind �" '= _ � : ph}sician or.coroner ^�� . __�.address ��F� �.=" � , . . ,j�—, , _ _ � . �. . ._ . , r" = --. t , � , Place of bui�al or remo��al_' MArI_?�il], = �p�lncet •� tad - ._ . . � name of cemetery . , � addmss � t - - . : , ' ' 1j16/'73� ` :Colvin &�.Son : Princet n-; n �=1,'' Date of bm �a — �� " . � FuneraP D�rector . ;'. t- ��. � :. ;�_ . � . . :' � - .. .-etn -7'� iq•v SEAL , � S�gned� . ._ , = �`�� , . - _ . . _ ... �;.� _�Gitison County'Health_Comm�ss�orier.', �� . _ � _ .�r • . "� � Princeton, -�Irid• = 1/18/,7.3��.. �� , � y; address ' � -%� rDate ..:'" '�'- - �.J - -� ' .. _ " i. '��' � �r � - , Becorded locall3- �n book' \To. $ 'Page A'o . � �66� - Filed: 1/16/73 - __ •, , ... � _ •; l � , , .. � - � = ,� =, t�S ;' -. �_ _ - _-- ' ° , � .. , .: - . : �. ., / ';. . _ _ � i_ .. ' �';'` - . .� � ''.. . . ._. . . .. , __ - ... , _ - -, .� . _ . . �„,- . .�