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Death Certificate - Rodgers, William Arthur_11/15/1974
. . � .. —. . .— �..� �r...��r�r�' ww�-�r.�w .�u�_ww.=".^s3�: ..- • ••."Mn�S.Zr;i=fnS. ♦ lw' Sl1Ci}Fi�r{K�.�LFj[jiiig-�r�+y� RECORD OF DEATH � # ' � GILSON COli\Tl DrPaRT\IL\T OF IIE:�LTII � � � PRINCETO\, I\DIA\A THIS IS TO CERTIFY", that our records sho�� "�l�'-='+�� 's''�= v� 3f+D�-;:F.S Oct. 2;, 197� ar F.:25"�� Gib. G=�. ?ios�. YI'1:1C2tOYi� .Lr;p. month day year hour of deaih su�ect, iiospital, nunl Age at Death �? Se� *��? �' Coloi•__.± �n _\Iai•ital Status �'aTT'ied '�- pears n�iite �chether marrieJ or cingle Pt'711711'\' C1LLS2 Of (�eRt�l ell'Cil \5'21S � '�`� 3c.uc'i�r, ; r na ^^r i-_nma n£ }�.-a j r� q- l ijpC'c � Si,�',nCdb\• �• :�• Ir:Chs=�'O:;'_� •l�:'• Pr'iirci,�nn,_l��rl. . . . ._ . pF�seiar o: co:•oner - addrev — . .. � ]'lace of burial or remo� D�tc of burial 1 G�?o / " j ! . .' S�AL T.I�.O.F �I'incete�. In�. name of cemeterv • address� . � �-` I:Pri'�8} 1;' ur,orfil fiO�F Lrj2n�,atOY! � TY.O_ Pnnr.ral Director . ❑ddre,s ,� - �D �� �" ; �t f Y-t<:c -��,: r- t�-! .�a,'-'��c� %�P Gi6son Counh� Healih Cummissioncr �rin�eto��, Ind. aaaress Recoi•�led"localh• in book No. � Pa�e No.���Piled:�_7�'?;'� i. � ,� r• -- - -- — -�- -- - - -- 'r. , datr,