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Death Certificate - Purkiser, Jackie Bruce_10/31/1979. � __-� _ ,, � �� : .. .._. . . � - . . ;. ..., _ ... _. .- . .:_.:,_._. _ . -- -- -� '�=-- - - - - . , . ...�_- -- -- - -- - ._._. __ � :: ..:: �: . ...... . . . _. . _ � _._ :..._ _ _ . _. .. .- -- . .... - - --�- --- - - - - - -- . - ... - . : .::. . ., _ .:: ^. �::':-: =::�:::, . - _ t :. _ RECORD OF DE�t_dj.: . -. '. +,--=:� ` .. = ---- -- ... . -- ��_ - - -- -- --- - -- _ . .....• .-'; ._.. ._._ --_ �_�_ _. _ _,: --- - � - --•� - 3 ..__ :; _ ;. -. :_-_,`::::?`GIBSON COliNTY DEPART�IEYT OF HEALTH .._.. ___;. _ _;: ,-_.;._---' •- .. ' . � - PRI\CETON, INDIANA _ --, - � � ' . . _' . ___. . . -, - _- -..o• . -._ _ : - - - - . . :. .. .:.... ..... . : IF ' :'.:.:.:;.. •. . ':. ' � ' . '_ �. " •..;:.�: : ' _._.• � �' � _: _�i._ .� � - _ •...� __ � _ ;__.., _. . . _ . - � ,_. -_ _';i.�". .. r . �'. - . ._ t •__ _'_. .. - =THIS-IS-TO-CERTIFY,--thaLour records.show JACxI�, BPtJCE-PURKISEA ; ` ' � � ' . . ... . ._ :. . ...., ciied � ..,.:_ _:. _,, .� .�� •�: . -; - s`_- -- - -�� -�" - - - ---• --+�- '>'- -. - :;E=-- --- - '7== - ti� - -i?- - . - �;:--- - ---�t:-:i�';;:: " �i�;�av_ ;S=it� ��-1'969=i;=af'�i'i�50AM��:gg:c`�2 =;Princet�on;-_Ind:�i =`_�i "_�,�-�; - -- � - (�.-- � ; - '- ' � � ,.hou�of:death��'; �' -;;'�street,:hos ital,.rnral �._ - - . month � �i �. -��Y� , Yeaz-r� ,i ... � ..... � . P � t -� � . �l i� -� i {i � i 3� � � � , >> i 1 i{., � 7 � °' Married , " �ge at Death 94 • � 4ex *?al e ' Color �dh� tp ' ` ' r; _ � ', � y�eats`�,^ +i . �. � �, r- i ii �1�-" �a'rtte whether mamed. or}smgle _ t ,,r ��. } ! � � � { � �'�i'� .. y ; s �� j � r �, � , � '� �t i i ..i 1{ • Si .�+ 3 'r � i � /i�CUr.6 � .23 OC2Td18Lf311L1Te F �i � '+ � Pl'lm8�+'cauae�o� �23�kt �1veIl-wa° l: ID� t ' :i � , ' - �' '� '� ` , f i.. ��-i) �. i f + 1 i , f. '�ej t ' ��:f�� t� � i.'.Y�1� . i. 3:� s;y.e �i ,�..° . e�..�' 1 �' i _ a '} . �� i :1�; � :�.p� -. i .i sl _ s }_'� . - . ,i; n �j...<,� 1 �' '7�'.t_� 1 v � k�t- � f � ii 't i .��j i. =p ;,�-. :1 is � S�g�ed.-by� �ROb�rt D Kendali"'Coroner `� '3 Prinoeton �`Tnd ` � _ s,.� ��. ,�. -i;physicianaor:corouer�f : 3:- t . j � �[<;:"addrees . - , 3} .t�� ` {� �- -+ F •t s_.. '. t ��--.- . .�� _ � ic � r 31�'"t•--_�i==:i� . . ` r = .�.� � ST •Rernards ' t �"':.-Ft:-.BZ'aZi�'ha�7nd' ' `� � „ ' •� Place_of bunal or removal--- � — . -- • " : - � _ } . � a � � � name of cemetery� . �! ' � -t � ' �. ' � addmss � � � S �� t ; _ ; �. - . � ! . �� ; ._ i � S 1 . . z� . � �� . _ �� . . r �..J � f. �t.- .- PI'i�nnotnri'' TnA-�-�° } .t .t� �� 1-.�.�; Date-of buria� 7�7 /6�J Col di n' w=S on �•- ' 1 Fimeral Directo� � �! ' �� `� }s::i .� a . i � �' $ . t .J.i tf .rl.� '.;SE i� .,�ii ,� ' �.ir..:-,7 t� ��.s�'S�vi� �,�_�.�i�.�._. 1 ' �, � _y{ `1- '.�i "�.l .'�,� �;�,,� � = '.� .��) r � � i � — s . Gibson County-Eiealth-Commissioner.' � -^ � F ' ' s . � .� ._. ' � ; � . i�,r-�� L fi it � _ �� . t� .i-.�_ !j � �. .�.1�� . :� . � � 7� ,� .�t�_ 1-� t�.- !'i �� i, , � ' Frincetor.,` Tnd - � �/I S/i3 �i t— R: : � } _`� t '� i�[ � � . i rf� ��. ti �` lt � t �G 3 SddI'CSS— ! r5 '� !. '� i� i- � D21E - �� r S ''1""'� .��t �� ii �. � ..if �l�r i ��.. f�...;.fi �I-ii.- -t �� .t- t - t 3{. t� ��_ .ri. L;! � ^.� � - �1-•" �s_ "—^—• ij i�.- ��--�:..:.;._ . i ..._.F.� '�_;: ' t� -il'..`.2! -i Recorded locally in book,No F?-50 �}Page.No � 1 � F�1ed = 5/6/69 � ;� ,i_ i�.'� . _ � � . a� �' �i.', � -.�i.' t� �� .'�.� 1 I�.i �I tf S � �. ; i . �., fi y�� - ; t �� i1 i ��.; , -'/-` -' c ��i".! i ��. �� ,� i + r �j . i - � _e fx. ; f :i � i-� ' { t .t �� 'f �� i-- � � „ !s. ; —;j , � � i�'� l �� \ i�`E t �1 :_� �I i`•�� .� ii ii �-.�� c 5� ik j� ' i. ��1 ��.{. il ; 1 i� _ .4��.. .�f � �7-'t!.".i� 3�� Et i i� ..?_,... �i. � i ii. � � f{ . iG i � II Y i i� � 'i I t r� i is i� 1� . t:�ii ' � � -II ,� 4 . 1! f ii. �.S ! _ � �1.� � � � � "j t _ ..�'l.. . -t .��.�. it �.. ..n [ {t . 1 I . F .�.��- . j: '_ .` + ' . I... 3 �..: i:�._ � _�.ti 1.1=.�1�._ii=i� :. _.{'w '.a_1� ={. . - .j .i."_.s- -:�. 1�.' . t..�..-3T��..�._.. �,.� .��.. . -. �_� �..__.__ .-_ _ — � •— . _ . _ . __ " � � 1 .