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Death Certificate - Thompson, Eugene_11/29/1973�F _� � .� �; Q • _ LpCAt, CERTp7Ep �:fTY-COUNTY DEPARTMENT OF HEA[.TH — �RECOHD OF-DEF_TH-- - � --City of Evamville Veaderbargh Cou� - � -' " -" �- - � �201 S. E. TbW Street " �' � ' . Evnneville, Indiane � . . I Patsy Naiicl�.. . . ..� -------------------- clied -. _ , I llu: i: n• �:�:rtity, that our records show----------------------- ------------- - ;• • . � ' . ---1 ---- ----- 16---- -=--795i--- at 2t4� Pslt. ------------ Oee_Hureinp,_Aome---------=----- -.. . > : � . mOVth J+Y " . 1>� �� a �� . . . .strtei ha�D(�+1 Oi rur�l ' _ . • -• y . . • . f . . , . . I .�ge at death --�-- Sex -_-P�t ' Co16i`_---- �------------�1d9_w_---------------------------------- ' i l<�n ," . �Ate �Ae[her m�rt4d or �injk . '- ,1 , .t�. .' i .. ..:�° .� ,�,� -- droatatic neumoain � '�' Primary cause of death given wes -�---------°-P ------------------------------------------------. '.. ,: -; Sigued by _ A-�av�immtD.O. ' " � ------ �i-t'Y--------------------------' ---t------------------------- ------ , -' ^ �ddem Plnce of huri:�l or removal ______ I.0.0.8. ' �. . Q�rOne9111e. Ind. -----------------------' ------,------------------------------ � . . ��. or ��r . .ea.a. . . . : . _..,. 1 1�g5_---- Vri�h6 &_Headall --------- :..Priccetion, Ind. _Dxte of burial -------- — ------ --- -----------------------------=- . -. - --- —� - � , _,vovo.�,aRm.. ---- � --. a.a. . - . _ - � ' t• .. . � . ' � ' �/%�c' V ' . �. � , SiGned------------- - ----------- -------- - =- ' --�y`--------- -----------s«•r. . _ " - '_ F � , _ . . ISEAL). � _ � EUQIISU1IIe� Indiana�- .:- � . laib-i959 • - - ---------' '• - a.e. VUTE: Hecordecl locally in Book No. ---_-- �1-- ;-- Pege No.----- 36 --_ �__- �: .: /—