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Death Certificate - Temme, Herschel D_6/16/1980� , . � �. - - �: ?,�„�•: . , :,�, ,': y '.'�>; ;• .. . . . . . . . . , . , .. .� �. . �� .� ,`'� j�. .� � I ; Rb:CORU OF DE:11'H � GII350N COUNTY DEPARTDiENT OF $EALTH PRiNCI�TON, iNDIANA TffiS IS TO CERTIFY, that i�ur records show __Hiil':;CHisL D `^�N�� died -?�2�8a _at_—�.:lOAM �---Gib. Gen.�Hoe:�. Yrinceton�__Znd. � month dny year hour of death xtmct, hoepitnl, rvrnl Age nt Death_.._ (,�____Sex.-----_h1ale__�lur 'rlh.__Muritul Status._..-------- _..--,_---f':�rrieci-- yeare write ahether mnrrled or siuglc Prim:u•y cause of death given was______�L•i:.:_ive_cerehral vaceular ace.ident__ __ _ ----- ----.._._-- - -. .. ._ -�---�---�-- ---- -- Signedby -- R. ..• °:lcitire_l, M.-1,----- I'rincr,ton, In�l. phyaicinn or coroner nddreaa � Place oF burial or removal- -------- Yark Lawn --- ----l;��nsvi.11e, Ind. n¢me of cemetery aJdre3a �� :�� . Date of burial ��.nTnmhmnnt ��30 _ t�enrtal l '�;��ro7;—I^;9 _ Fl�neral Dimctor addrese ' ' SEAL Reconlcri locnlly in lxml: No. . // ! � �/ w/�yJ� / r.. [/Y/ ��Z;V', �':�A=n.i� /':�i Signe�_ � // ` Cibson County Hrnith Com iesioncr -- O:�kl:ind City, ;n�:. 3��'3t? ---- nddrese --- -- —•— dutc 1�-• •----Pagc No.:.._._F'_. Filed:--�--•--3�3IF'�--•-----� - u N