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Death Certificate - Rogers, Floyd_7/23/1990�� : : : � ' � ' ` . .' LOCAL ' � . � ' RECORll OF DF.ATE[ ' . ,, ' . • ' . ` i . '�CITY D�PART�lEN'f OF�HEALTH• . ; : • � ' Yi�i�cE•ror�,:i�vinva. • : � ' . • • : '. . ;. ,. ; ; : �, . , ;�•�o��$e�;, . •_. . . . ' . .� . � �;THIS IS TO CERTIFl, that our records sho«� _-- __—__ died , . ". � � • . • • �' ' � �' 'Ihctor's office 4L 11A S, Hart St. . � Februery � � 6, •� '�__1958 • '_at 5:30P.M, Princeton, Indiana_ ' � month • i day year � � - � ti' � • � ; hour of death � � � � � street, hospital, rural , . . .� t. '' ! ' � ' :! _ 1'.�. i .._ j;". .r'.. �it �� ''. . ' '.} . 'i ' ' ' i: ' •.! .-... _ . �, ��. .. , . ..Pthite �' '' ' ' Married .'r • ,. , . .Age at Death ,55'� :—Sex-- tdale'_ �_Coloi•'—; • ------------ - . .. ; .• : � � ' eears � � � .. . '. t -- , i ... 't � I . _'_ ; i 1 � � . write ��•hether married ur. single ` .. + ' �..:• � , �� i. � ., �, .� ; . �; . . , . . . •' . �� '. � �Coronar OccZusion " ' � . Prnnary cause of dentli'gicen_wus __ _ y — - ---- . • ', : ,, _ :z_'- - . _ " - -- - • —. :, --- : : � -. .. � : -----.---,-- ' Signedb}. ' R. E. :7e1t2eJ �4,D,,: " ---- . -. ,'�'inceton,•'Indiana------- � . physicinn or coroner � ��.�. - �" _'' . ' address .. ' Ylace of burial or removnL ' ��fl�e Aill� • '" �'incetoa, � Indlana ___ � � . . � . " name, of cemetery � �! � 'r�' - � address " _ . . . ,. . ... �� ;� . . � . . . . : . Date of bu��ial_2 ? 58 Golvin &�Son ' •__ �'inceton, Indiana __ __� � . ' . � � � � . ' , Ptmeral � Dimctor . , . ' � , . • s � � � � � , ; addre � . ' _ � , �, ', . ��j`-=�-� . S�AL' � . ; .; � ,. Signed �. ��..�Secy. .' ' .. " , � ' . - �•Princeton, Ind. ` -?�z0�F9 -- • . . - . . ' ! . . ' address � � ' � . , � : date ' . . . . _ .. . .230 ` , . P,ewrded locapy ]n lwok No. , � 6 -Page No � • —_ • • � . t � ,. . •. ;, . , �. . . ' . . � ' , - . ' .. , -. . � .