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Death Certificate - Rainey, Mary Oma_12/29/1972� . . . • � , . • ' � ' r: t ' . � , � �. � . _ � •- 1 -i� r ' � � - . � : RECORD�,OF DEATH .: - _ _ s ' "': �.- GIESO\T COU\TI DEPART\IE\?T OF�HEALTH � 1. . ..' ' ' PRINCETON;_INDIAIvA� .. ' . � ' � ��;,_, . . - . - - r t_ �i ' � . ,- , � . . ., c. : MAHY..OMA�FiA�INEY '.'` , . •. THIS I5 TO�CERTIFY„that oui• records sfio�ti - •- died'(_ r.. �,. . . - - � ."t.: -.i : - ' �: - _ . �: . __ _ �Oct.:- - 14 • • �1966'.- - at9:�PM RR #1� -�qa�land�Cltv';�Ind.. • - �•��month' ' :'��day' , — -•year.' �, � , � �:-hour;o&deafh.' � .' �stieet; �ho�p�tal,_'niral ' ' , • rlge;at Death •' 70 '' �_Se�• Female - Color-• • -Wht��e ' - .rvrarrt e�r7' a? � years •�� - � �_«-rite ichether mairied-or,single - ' :.•' • - - � - � -� _. . ' ' .'. � � :. '.. �"- .. � y , ': •Primary cause'of..death.`even �vas •'-Acute, congestive�heart•Pai•lure � �- � ��"_� _ � . . . ., . `; _ �� •• . ._ , . � � . +-_ ,. � S�gneilby _:u! �F':..:—^�h�°r�� - 'navianA rLt3c,_Iatt._ _ I _�-. i � __ physician or coronen � + - � address� � � ' , Place'of_bui•ial'or:removal •Oak Ailll EvansvllTe;� Ind'." � - , . . _ - . � name"of�.cemetery - . - addre�s" } � — �:,. ' - - _i� . '`i.�� . �� .:� .� _. _� . . _ _ :� . ... -_".: � .._ �.'. . .... .:_,_ •_ �. : wD"ate of burial"10/17/66 - -•'�Corn' MortuaTy - p;�k�ari - _.-' <<` . .' • -'Ftiineral� Director" . . .;1. ' � r ddre - . . . . -'' . �� _ � .. . '. t ' � • i -..+ � , �' SEAL � -, - , Signe ' � • '>-° � --- , � i � , � � ,' �Gibson Countp� Cdiefm�ss�oner �� `� " ' + ' • ^' Princeton; =-Ind. ' - ' 12/29/72 '::�- . . �i.�. - . �-address: _ . . � .i�o... .Date; � :�; 't'.': .. `'. :.•� , , .` i .. •_ .. - . � , ,.^ } � ; ' i �,. _ • Recorded locally m;book�No A-5� .Page No." 88 -" �led: 10/17%66 � =' _ _ _ , . � -- _:-^ � - ' �� r� ;� � .�:� J �' �,• ' tJ � �� 1 � ! �� ;11 ♦ . . . •i. . �: ,1 , . . . .. ..�I, t. . � i��: � � • . � .. ` .. .. 1�.tV . '' , - • S . f• • . � •1 . r•.•� a�� e '�. . • • . • . • . . � . . . _ _ . _ _ _ . _ � f . _ . . . . .. . . . . � . . .