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Death Certificate - Seifers, Harry E_3/28/1967._ . . . .- _ _. � . ��+��,. �. �.. . . ' _ . .., �- ,."..�. . . . - . RECORD OF DEATH • . , ' - , _.. ,.. • -- ,• ,.. . . `. GIBSON COU\T] DEPARTDIE\T OF HEALTH . , • , ` , - • � � , . - - . 'PRI?�CETON,.INDIAN:1.. � ' � � � � THIS IS TO CERTIFY, tltat.our records sho}v ' -'��$�°- E. SFIFERS . � died � Au�ust 9 1966 � at.7—nM_r,. �� r. _ . . T . �month _ dav � - - � �year � .. � _ . hour_of death �. - ' -street,��hospita , rural 9ge at Deatli � 5� - Sex 'Mal-e - ��ol•','�inite � � Married . - - . .. ': �•ears � �- .� � � � �• - �. � .icrite «'Hether,marrie¢�or single� ' Primary cause�of'death given,«�as� hiyocardial Infarction. �� ' , . . � . .,. �• . . . . ' Signed�by �_ James='F`. Peck.,-'M��D. �� '� -� �_Princeton, Indiana � ' ` - � - � . _ , '. - physician or coroner � . � . , ' . addre;s � . � � � Place of burial"or`i•emovnl �t•' Olive - p?t.� Olympus,: Indiana_ ' : " � � • - , � � _ �name�of cemeten• .. . � . � � - . �addre;s' .. � ` � ' . � . . � T� ' � . . . . . . � � _ _ -. � .. � ; . � . - � -. � �� -8'_11-66 • CbTvin �• Son • .. ` Prirceton; Indiana Date of bui�al � �1� -7'a . ., f--' " f�neral Directo; � ' . . �% -� •-// a��dd% ��s .: . . ) � �n . � � SEAL �: i.- ' • r :. � Signed �Sl.�i �.6� �>�Gi'��_,.r��ic/ ��t/ _ . : � � � — �- ' _ - " �Gibsort County Health Commi;si ner . � � �-.+_ . . � . ' ' _ . . . . �� . _ �• PT1T1C2tOP��' Tridla:l8 �-2a-%7 1 `; , _ � . . . . . . �i_ . .�. ' . . . - , - - . . address � ' � � - - ' date � � � . ... . � . . . . - . . ' ' .. � ' �� . Recorded`locally. in^bool: No. ' 7 Page-No. 146 ' .. . , - . - . Filed •.8-17-66 :. . � : : . .