Death Certificate - Read, John L_7/19/1962. Locar, , , . � �
RECORD OF DEATH • �
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CITY DEPARTI'IE\TT OF HEALTH
� . � � PRINCETO�i, I\DIANA i .
TffiS S TO CERTIFY, that our records sho�v � �
a �
. mo h day . . year . at��f d�/� 5
:�ge at Death—Q_�Sex � a� Color—/�/ /� �� � ' �
years . n-rite �vl
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-Piimary cause of death given,�cas �titiCt�s�_..-:,�•�o.�„�..L
_._ - .- - - -- -- — - _ __�. _ _ __-.-- -= - ., ,
Signed by � . �� '
� physician or coroner . � add�.
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Place of Uurial or removal �/0�-
name of ineterc ' � � � add
Date of burial; �. / '�-��-�E ��3"'/�
'„ � = �� . `, Funeral Director , . � add
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�SEAL `� � � y ' � . � Signed
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'� � ` , �address . , ,
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Recorded-locally in book'No.—�—Page No. � '
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street, hosp�
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ried or single