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Death Certificate - Peyton, Everett R_11/28/2001�� iiiz�i2eei ia:es zis-�asi Rori sr�a�a� Pac,� e3 E: . . � ; . : GIB50�1':GO�IN'FY DEP�A:�t'�`I1�`�N'F OF HEALTH . � .. , 800.5 Pr�nce_,St. , . `�• . Princetqn, Ind�csner�:'4767.0 . 812-385�3831;. f..;. �� '• RECORD O� DEATH � � <..... � THIS IS T0_ CSRTIFY. .' �:.: ,.1° ` , ,= tihat.:acaording tq'the zecrorcl9" of the� 6ib�6�n Ccunty.Department of Heal`th; .:_ SVSRHTT Ri. PSYTON i ' - � . . . . .�j. . : . Died on'06/02/1998 at 10:,20AM I MGibaoa General Hoapital „ .., -.�--- - ]:8V8 9Fiezinas� ns�rze y ' - , � := �. , . ;:kr�nCet'cn IN:`4��8�k # ... E t .::: � :-.,..:;: _.�.' . • -F.: , - Aga'at'death . 75 YeaYe. . Seic:� M y;` MaiiEal'..�3Eatus:. :' widowed.: Colqri 'Wfiite:: . � ,:,:. -. : . . � .�-.;- . .. ,:Cauoe of desthi .Large Gell Cancer Fr;t:LUrig, 3 1/2 years piSFID . Witli CIironic �AF arid .QiF Mabe£es �Melliti6: fRype jIT " . I: ; `'} t _ ": :.: . . � :' _.:,° •SignnB.bY.e: william_R. Welle, HID';- 510 N:Main St•: _. E'` " •:. _ k �. 1�rinceton'IN 47670E _ .._:..��'�. .::.. .. --.: . �: . . . . . l:'�,;i.�:.: . . P.lace.: bf: burial ' :Columbia �te., Chuxch,;'Ce�hetery: • t �. or. s.emoveT: . Princetba ;IN' 47670 i ' ,. i . _ : : .. Date of burials 06/OS%3998 (.; i`;: _ 8uaeral"�� ;�C°��-Fune�a�.� Iiome,.T �nc F � . -_:...: � :,s _ �.' , .- - 42.5. N. Main' .9t . � • E'rinceton ;IN 47fr7-0.� � .` - � _ . F r �. . �a /� . . . .�� Signed. by F �'(! "/! ,�'v�If G'•'" +j�Q.Iti1j . . -1,0 � . O bsan;:Gounty Healt Co�iesioner ' $ E A L , . . 4�land„Cit , . .Zndiana 06 :08/98'' :. - . r. :. :�•Address Date . - .. �: i:: ,. .. . .:.: . ,. . ... � < Recorded Tocaily in.Soo�C No.. 13 ?Pag�;No.:66. Filedc 06/08/1998 .. . . ... . . . :.. � : , .. �; ' !' :. /�r.1�Ce-� : F`' P �- :a,; . '; �p�jQ'03(��-�X� �5q1 - ; ; �. . �Iq-Oa153� _