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Death Certificate - Randolph, James L_10/18/1973=7 � • - a . ,. . . . ., � ' ..�.� . .. • . � " . . r .� : t{� ��. -., _.'._- 7 . . . . .. . _ . . �' . ..._ f a RECORD ATH - � ' s 'Y ' ', OF DE � . � �... . ,- . -' . . o- t � ,S �'�� . . . . . M1 `:.S .i- .' ' - _'. _GIESOI�T COUNTI 'DEPART➢fENT OF HEALTH �•� `. �' � : t 3` f . * ��t��.rntf �.'1�� , •- . .+. _ - '. , , . PRINCETON, INDIANA� ! , . - �.�-:• . ._ . .: Tt, -_� :.� .•' . . . . �'_-' . . ..j� � -. . �~ .v� i.r-� � a_�: THIS IS TO'CERTIFY, that our records sho«� � JAMES L. RANDOLPA • }+. _ �� ' � . - _. � a�ea ' AF i6 F ;� �, Tll 1973 -at �.nr... ,.'.� _ ' • ' � . . .. =','`�s�is•j, ,.. ., , month: ' dal ` -year _ .�.5 �• _y i _ � Age at Death �'•84 � Sex ' Male ' Co � ..years�.- • - :s� -- .. - � � . Primaiy cause-of death-given.was ACUte C _�: . ' , . . . .� ' � . � '�* hour�of,de loi � W ,% , -write wh i . • ... . Ci�...nd 6..�: .. • D �� e•".ilee�� - '— " _ � . . ^nys�c:an o: � _ �. - .. � - ::b:�L. ..�2� -.. " Place of !6urial. or removal • ' - _—�--.Ex � . � .��� �_ - � .�_a �.. ��iMe; �r� married or single, � f : • ----"*'?� "-'�a ' :. . .. . . : ' � , ..�i 41"- �e �/_P-t►1mOt]ar� p_pngs'�� e;,'� j '� � .. _ , ` . . - . ^ , .. + . ,. . � ..�_. . ,. . }. . .y_ .. .:5:°_'��. �.p ...7- s ;' ...� � fy.�,uQ . F y,y t { ry!- :�-ti -i.�����'� '.ti � .Y..a.....�f rwr�T: . '<<.�i - � S �-..:. :��� � � ;� • name of cemetery -` . --' "°a1°��i-�3�, �Ind.�"` ° ' • ; Y � ' � _ .: . - - .. . _ _; ,. . . - : .. address,: � s - , __ 3 . s,.s � + � Date�of bunal_�_�18'/79 - - � . Ta�}�-gQag��MeIDOria1 �_ � ei .� �. 1�1a�}`g C�tv'' Inds � � � ~ . � F�nernl. Director . � . _ _ _ add � `' � ' -SEAL�• + ' . ' Signe . ijl� � ` ° . � . �- . •� G�bson.Cannty Health Commiss�oner'^ � - y . " . �. � �1 ' . � . _ . ` . �. .. � . .j.. �: . � � � � . . ! �1 - . • .. . . • Princeton,'Ind. 4/23/�9 • ' ' ti � . . ��-. . . . " 8a(�C28F- . ,.i ' . ' .. . - ~ . : . �: . . . �- � . Date �� ��i;. e ' ; . . -- . � 1 . Recorded locally'm book No.._8-_�_Page�I�To.. . ,e, „ s� ,- ` - . ---�4-__.Filed:--�#�19�'�3 _,. . • . . , ;: �- �� . ,�. z , . . '.i - ' .k . 1.,, . ,:x . , . . ' • .., ` �_ '�; ', � , ` � ' . . � .- .. . . _ ._. - . : . K!- ak� t� C', �.! - - - . _. 1 ' ' s , ' .� p q s_�, i:. _- — . ---=--- - -- _ --,�.i -�--- �' - "� i,3°` ��—,-}