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Death Certificate - Taylor, Temas_11/9/1977RECORD OF DEaTH U'TBSON COUNTY DEPART�I�NT OF HEALTH ' � PRINCETON, INDIAN.1 . �: .. • THIS IS TO CERTIFY, that our records show TEMAS . TAYLOR died ��.,•,��''�19C�'(� at �y,�p�� 704 E.. Vine Ft: Branch Ind '�.�month day year hour of death � street, hospital, rural - � .� . �_ -� Age �at �Death 7'� Sex M- Color �•��iarita! Statu� .-, Marri d - ` � � � � Yeare ' � write whether m'srried o'r single � . Primary cause of death given was Con�. heart fai 1 urP Signed by R. G. GPirkr M•ll- �-� $���Fh, �nd � � . , physician or coroner ' address � ' Place of burial�oi removal Maple Grove Boonville, Ind. - , r.: �: of cer.:e::r� - . addrea� . ' - � . � ---' Date of buri7�r�16%66 yaib --' , Ft. Branch, Ind. " � � � . F�neral Dimctor address -- . � - s : . . G� �¢'� `� �° ' �'�� SEAL . Signe ' � �� Gibson County Heatth Commissioner � - . .,:. -' � Oakland CitY� Ind, 11/9/77 aaare� aac� Recorded 1ceally in book No. H-S� page No. $3 Filed: 2�14/66 ., � ` ' ( .,. �. . ' � � � ��� � .. . . , . • .`';. —.. . . -_ . . .. ' : � . _ � . _ . �._. . . i t., .