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Death Certificate - Pugh, Robert_4/13/1989_i' �"�==' �:!'-�1! � �.�: _ __ ;_: :. ; ,, : . : � "`.tl" �e [�"(r . .i1 {if .'1 �1 il . � !.' s . �;-^ii="!{ 11 �i'_"��"�_�i� ..a�"' �` � 11'_u ;� EI i} }� � ! ! �•r. �. _�;�:t;..,�._��:...•��_ ��::�;�_-.li —4;_ � --��. � a; . :� �RECORD�OFDEATH:l+.i1:;;r_'li;.'i���i_.`':t��-�: �i' �'i'� ,` , " �II="IE°:�=.5��=`- lI==I�'=l;.ti;=GIBSON CO,UNTY'DEPARTMENT OF'HE:AL'fH ! '� , � �::.:'.i�_"=�1'-:11V:�(�..�'�j_-:��='-'�-.�.ii^�.;PRI\;CETON,I\DI�1a. 3; i: i. i� ' 11 � .__��_.._.y _� I i.._:i!_-c � � 1 : ` < _ 1; fi ._'!] �� `: j� - - ' . � I.-.f�:-:�1:-:!. �i,:--,;;--I� ,� -= i i �, , , , �._ � � ,.: ' ��' , ' . j ! :ti� :EI---,!•--,1���.!,--:�I��-'l1 ;!. i� I� D�-��j � f %. _TIiIS�IS:TO;CERTIF'Y,=that:our.records show! '! _�c�k�f`ic7.__.. ��-_c_ _________died .u. .�,. .ci. .�t. (,. .�. .i�. .�� - -•li -'.!t: tt �i � . :� • . ;--' 14--• .. r;___ ir_--'{1---'1:.-'Ii.. .;, . Ej ;� ' ;, �-- , �� -.. ;,-:i1-11 il �_ .._i� = �� � �n � ' i � I � . � 1 _ . i { „ „ ���-� � E at_7-' a a /}/n ,1=1�.�;,, �.E� 1 � ;,.�-,���:� y mont da ��"^ �-- ear '--`f �� �-hourof�deathi' � �i __-;!, �eet hospital,rural � t. } i�.:�,�. ��:�� (f 3•ll,-;--i�ct.._Si i_ �� f , � =it�.li-.'�l�7��_l")� �i--if (f j �I �i z�i �t j• �e. � :, ��� /�. : . . 'Age'�at_Death��_•��� '� Se �• � Color /� ���c.�14i� ` .— '�+ x� 6�!��--'`-. �.;� • �." � � years � � i_ 7.� :t'.',t i� �� it,' i��i � .i S+ ��.t � �crite whether�marned or singie� ' -1�-I(=�!i ;I: ��-1!:.—..i�::-'�7 i� �7i 1 ! Y• 'i �° �i i�- � ��. 1 -;11--..t_... ,._..;. ):_.�!f:.._,I .. � . .�{ .- t .� .�,�4: 1 � ' t _. t1._'jl �� �-i ,% ;� 't_ i1 . ?� . i 1; Primary,cause�of�deathigrven was'= _ � ' �=cf:��,d.ccJ _ _ _ •. ':ji--4:-=-ii 1 �! t' ii=�i�==:tl i =:i� !f iii'-�! . � . � � i�_'-ti_ [i1. 1�:_-t'_ ��. �II_'-il: �i�_ �i!=_.;i: ''i -_II'� •�j, ;i' !t -- �: _ t! �� �i:.�l °� ','`� t{ �/�7� �l /1) Il�( .�i.�rit_-r-l� �f=-��.- i�/-/''—. it � �_�( �---� . _ e.�!{__..�:-%�.e. �,. -/i-•-.7'A �! /�`_ .1, �i- -E� t} 1 •�iY .. w-%. ..i'. % _ ' " -i3 {��J�1::.��1_'; hysi � si.. . �.. 7:11:-- �e: - 1 ._. ._ .lF:"_I;—i�-...�5: �Place=of=burial:or_remov2 { tt �.:ti:'-:I;:'�:ll E :ti'":: �i^�1�—•�1: __�j--=�f--�;?: 1.;;: �.,,-t..=":1e���•�t �r'coroner- fy �j .�i.�..� . i �---�IC- �....5�-. � ,;-.:;_. + � --*--J 'li.� �f !(.^ .! . .il i Ii.-.lj: ".�7.;.'`� '!.i . �_.�• �. . .., . . Ei-'...�i:"`:":�i:`i: /'Y� ' - _ f '.: ' IL.._'tf:__�I R.._ :�I.' ii':.: . i:.-. - ' �1:.. -- �==' ` � . qj;address i!-- !� � . ./..;�1'._: +1 . t' .address. • • -�-- . ,. i ��. i�; 1, ���•�=s�.-�.r/-J ' .i:.�_".is '�� � ��;' - :� -lia�e:yi:uuna�_...__... .__ �-..��u.s�:��.� ... �y-t�.+a-c-�-�,..,._�� _ .- -"- -- ----" .. `____•i_;: i�_� -�:C.��— •t�.�.'t::..�_ `.�".�� r•,.. �i� � � .�C--ii_...'r�..._il:�'ll^-�IS• F�ne 1 irectorrl--'� t!_._����� : �� address- _i . •�� ,� - �: `�( � jt �)� �� I� II ����S��tV�b � fl � : � �'il j•_�� i � � (� � '�( � ' � �� � ! �{...�i�, � 1 � � � �- � F SEAL �� tii ��.� 1 i j E�S� ned as <. �L.��{ ��-- .Ya,,,.ZF,, 1"+:_1�.� ,, , , .�� . , i .::}�:�_:���f =: � , �- - .. . .� ' �„^ � E i1 �' �� �� � ,• '�� _�_•y � G�Uson.;County Health Conimissioner � �� ,.!,. �.� .-,�{.i�:°--�!.�.,��t��:—.�� i�tiy":lli=i�^��:��;t�.�t ('•�'.1�''ir•� /� �� l�z 't � . • �� �� - . � 1 � � ( .�_[ j i =..�:�i ? - � . ` � t � i � � �' � a.r..rt ei(/� �i�t4 n--,-:-.v �_`•�-� �' i �, :.f.�_��:=: i_._.o: n t �� s� �� _: ,. , . , - , . , + ,i:�7 :�:'_..'i-.j.-.�Sl �� � � � tl .�� e �1;��address : . il. �, date.� � � ��:,_.;;`.:._�1:;.-!�:� S!-�!�:.:r'��! -p�'� { :1�:�'��,__{ '�I_, p� , �'� { . '', . '; . ii . 'Record,e,d locally.in-book'A?o':�' 7'—" 'd �Page�No '� �1� � , R� ,, j '. ,. ,i.`;.�� '� ;:f.�� i�.�� ' +�.��:'�:i�'=�:ii:''-Jl:��-'iE �� ; �'. � +� ,;��f , . , +� .` � � . �� ;� ' � , � � , „ , s � ,� 1, „ s. , � � i�� ''-= f'---i ���_� �� =-�� ` tz-�(;:•.-j�.� �i f� �f _!� •� `' , � i �ia,--� i- :;i= .,. 1=—� � �t: � .��__.u:__!�.. i���I._....i� 4! {y:_'i � � i � � � • � -�c:'-•; - -+.{-�== t. _ ` „ � . • • , ' � . ' . !�_'if:..�:.�:ll.��.��.�._�i.'t{.�i_�;.7l..i.11,���. .�; �l.��..�. I � ,