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Death Certificate - Wilson, Mildred_10/31/1966
" c'•`s.�,"=.'.ii�i.6a=""' . . ,.� . . RECORD OF DE4TH . .� GIB�� COliNTP DI:P�RT:�SEN1' OF HEALT� < .- PRINCETOY, IND[ANd V ' i.� • . • • j . � fTHIS tS TO @£RT1F]', that our records show•_ __ T�¢e8 H. CondPOn_____ _ ____ ��� ' ° '�. 10- 26-66 - - - -- - -- - - - __ _.._ _.at____ 10 :20 PM CD'P Gibaon General ?, ,� mont�ii day yem� hour of death scnr.t, ho t rura .=' � • Age at Deatix'--BJj---�K__me��e.- - —Cola• ----- White a' . +years write whether married or single , Prima cause of death �1�Acute Lobar Pneumonia left �2� Ax'teriosclerotic rY 8iven was------ — --------- he8rt diaease (3) Myocardial Inauffiaiency (4) Hypertenaion —t��A�i-as7:eros3��(6-)--Parktasons--�tseaae- ------------------ - Si�ed by_D�Yirgil-McCart�-2S. D--- --PZ1IIO.eSon .T13d�---- ---- - physician or coroner uddress �.`: P�ce of burial or removal __gt_ Joae�h _Cemetary Princeton Ind. . � - -_- name of cemeten� ' uddres� — _ ._ _____.__ _ ,yr ` D&te of bun,J 10-29-66 - - - -- -Colvin__& _Snn -- _ PZ ceS9n Ind- _- - i'unrral DirceWr .dd , _ -- ---�,------ tiF.AL SiKn��'Li^�-�__X/ L,-i Gibaon County Health mmissione� � Rriaweton-Ind-. __10-31-66 — addrrsa �� — RecOrded beall}' i�� Ix,�',A \��. _�? Page NO._ _�J? _____