Death Certificate - Weitzel, Adolph_1/14/1963RECORD OF DEATH
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GIBSON COUNTI DEPART_IiENT OF HEALTH
' PRINCETON, INDI:1\?�1 . .
TffiS IS TO CERTIFY, that our records show
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. month dap pear - hour of death stree ,�ospital, rura]
Age at Death�Sex�h�Color �� � nAd�,
. . � . years . � n'rite �chether married or single . .
Primary cause of death given
s��,ea
Place of.burial or .�emeca� � �'
'� ' " - i name of cemetery
e
addiess
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addmss
Date of buria-� '
. . _ Ftineral irector . � , address .
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SEAL - ' "�, - Signed � .C.Si /N"'� '
Gibson Co nry Health Commissioner
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_ � . ' i� _ aaaress � - a8c�
Recorded locally in,book'No. �• d'� age No.�C7— �'S "G �%
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