Death Certificate - Williams, John Lowell_4/19/1956LOCAL �
RECORD OF DEATH
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GIBSON COUNTY DEPARTMENT OF HEALTH
^ YRIVCETON, I\DIA?QA _
THIS IS TO GERTIFY, .that°our records show.....�.. . .. fA..�.....�i�rL4LLk.4K� ....................... died
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mon � day � year hour of death _ street, �hospital, rural
age at death..!�rL�...... Sex...CC.!�N�........... Color...{A�W�S.0 ..................................�.%2'!4lk:w�L.�i.........................................
years a�rite whether married or single
Primary cause of dea4h given was...._'.^�'..4..s1!:L........`r��........��.R�,e:�rer.r.F............
Signed
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Place of Wral or removal---.........�%k.e�s:�a�c. ............................................................f.IFl�L!�exe.A.]�+�TQ� �'�T
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- � name of cemetery � . address .
Date of burial....:._�../....Gt,�.�.%...........�....�`r!eK.R..�r ......................:.........................L3.f.uf/.Lw...L/J�.......�
` Funeral Director - address
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� (SEAL) .� _ . � Gibson County Health Coaunissioner
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Recorded locally in.book \o. .J"T.-...�7., Page No...7'.�%..,iF......