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Death Certificate - Whitman, Corwin A_4/6/1967; . .. ,. . RECORD OF'�DE�1TH ^ • � '.' . . . . : � - �. - � � , ' _ � , . _.': " GIBSON COU\'T,Y DEPABTMENT OF HEALTH . " ' �. � . . � . . - � PRINCETO\T �I\DIAA`A . . � . . . . . , . . . . �THIS IS'TO CERTIFY; tliat our records sho�v � ' �LU/t�'�% �, _�%��?'%�i�J� -. . _-died. ' ' i(1Ceii��T� /% � �/�,3�- • - at 7•'30f%%l/. /u�..�,.�///.ia.,� - y�G�e�� ' . month- � 'day . � cear � ' • � h�k��- ' � �street,.hospital', rural ,� ._�1ge at Death ._—rL? Ses �1�e-� Color k�7�� • � I/'2r� � - � _ , . � - - years ' . . . " . . - . ' . «�rite n� ether maritied or �ingle . . . .. : "x��..��..c� � � �l9 � . Primaiy,cause of death given w�as_ /� -� �� ' -. � _Sigpeci by •�,�✓�._!'f!U' fn �/ C.�..67�,� ' . . ._ , - ^,— � �lii'..C��' 1�� ; .. . � . , . phvsieian or coroner . . . , . . , address' � . ' . • .. • I Plaee of buriat or remoaal �! � 0�.f'• �-/"�-��/. %��G*'�� 2%�ur��"✓ : � � . : ; . � naine of cemetery � � � ' � - ' ddmas . � . . . . - . . . . Date of burial�/�=��d-5a � �(.�iXirJ`�� - -• %"�.�il'��-Z -�� l �. � „ - - � _. F�ne�al�Director � - � � - • ' addm�s ' -� � . � �- .,�, p,�.�..-�� ,D. ' � SEAL .-, . . -� . Signed ;�ILZ�i�f' � ///'_ � - a ^ , ^ . � � � � , . , /� ibson Countp� Health Comm»��one � �-- � � ' +� � . , f� ' .: f � ,, r _--��"� ��.' . �� G-C� . - �-� _ . . . -. . . . _ : address' -. �.._ � _ � date . ? 71, �_� '. ,-' t . _. _ � . -. . . � : . . . ' Recorded.locally in book'I�o: l� Page ATo.' �� . � �,'✓�' /d��/`�-� � . : . . , . . - .,. •,� ; : . '" , ' _ ' _ - ..