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Death Certificate - Terry, Jessie_8/7/1972:, t. y. . . � . i. ' _ . _ " . +... _ .1'� . � . i � • :•' � � . � .i . RECORD OF;DE�ITH �. . .,..; ,: . ' .• • j , , . . . - � ^ �. . • GIBSON; COU\TTY DEPART\1E?`TT OF'HE �LTH � " .� � � „_ - � --' �� • �� •PRI\CETO\,�,iNDIaSA.;.. ' ' . �. -' �� . . � . � . ` � . _ � . � . '' THIS-IS TO CERTIFY,�thnt om s^ecoids�slio�< <� rnftiTn� -Lt � TFRRV �� _ � died �- .� � . ... : . : �, t.' .. - . .. :- . . .. .�. -July 'i ��19-� -�1965. at-9i.40AM-�08..5. Stormont�._�rinceton,•_:Snd..s� � ' � - month:.� �-if � �kda} ��.. ...year.'� _ hour.of,death �. ' _ ��street;�.hospital;rural�� . � � �, . � ..,. .. . ' ' . ' 73 ; -'1�ale ' ' ,. White �=: =.,.. Age;at Death- Sea Color'- - MaTried ,_ � � � "i �drite_��t•hether married or single . ' � � • �__ , � .�ears�: .f' �' - - .' �. : � �-� - � � . �,. . ' � ._. . �- _ .', _ ��rPrimar5 tcause�of�deatli;given w�as '� CeTebral ThTOmbosis ' , � � � . '' . .r: _ - .i.� :�� s• - � - i::. ;� : . � - - . � � _ - • - - , S��ned by William R itells �p � piiriaetnn,' T cL, � _; ��': -l:ph�sic�an�orcoroner. � -�- - address�-_ .�� . — :.•�-..... _.':n� ....� . _.•.':.�... :: � . ��. . .. . �. .. e, ^ ' Place of: burial.oi remoyal �•� Antioch `I4eEnsbuxFe, I_ll. " '� +` �,;!': l name of cemeter} � - - address;;, }; `� 1 ,� = ' - ' :i. -,, . . . . 1. � f . � � .' ` - _ Date of bu��al 9/2T/65 + �� Kendal l FpnPrgl H^� cetoxi, �n�i � ' � -I ' . Funeral D�rec[or �, � - � add _• � _ : .:SEALf"° ��S !''! r�.y. ��` t .--'!$1gRCt��- � � , f'.�`. t � �� " - '� � � Gibson Countv Health Comm�ss�oner . - � i � ,�.. i 1� 1 � . � � � _� �" .. .�,_ . � .1 ..,.ai t ' ' . •` � •>• _ Princeton; � Snd:�� 'f3%7/7�� ' -� � ��address " � •,� �-� Date• � .s'�. ;. + .. . i� . .. ..�, ,', �,i .. : - . �. .: � ,� . i . 0 Recorded locallp in book \To '7 � _Paae nTo _�z� i�n F'iled:—��gr �� - .S' ,•; f ' � -. � _ .� . / -� j: ;:.,�. . - � -'! ;� +�. ��- ' - :.�- , � .- . .- - ,�.- �= �'.; , " — - ' 7 , ! � .'i � . ..t._ p� _. ., i � .� ..' . � ' . _ � .. � i �1 ,�� .e. .I[ .t i . �� .i ! � �'� _ ��.. _o. ' ' ' . ' • ' — . �� _ , . . . . _ �. .