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Death Certificate - Workman, Roy_4/23/1970- ���+� 4 ' �'�.b.�.��w. ..i '+.,.3. :�'Q.:����Y.�v � +�fS _'3 ..`�'f ]P`f'l, �'4'1T'.( L �+J,..� 1( ..'b, �C:.rM ..r� �. , .�� � -�:✓`"`G"' i.`��n+.._ � y � ,.,� � e.r r� r t]M�' y{�� +if 'fl� � (`� � �:5 � � V (+* ' �T`^^ s.."'1KC'C�" 'v%Kn"+�^-^...-^.. �"W9 � J"'�,` " yl��'��F'- �� �1 �S"','e.� t� � � <<7 *�LS. � �,a'i.�.�.,�„r.ni�fs�fiu.r � �� � . y.. Jy`� .4,�. .. q . .o,r r � :e v �'��; � .. y t R „�{. � / .-J��� � 1+ Y.�+ ' ` �J� � � \�' l-�` 1��: �I• � '1 � �� I r. � � i� r� ,•., � �� M � �'t .. � K. . ±'..� 4 � _1 < } .. .J \ �(,.♦ „^ � t a� I ' i ' . .� �x. -� . � � . A .- ... �., � - . 'i..,. � I 1\ .�.'z � t�.41t^'7Z�'! o< '�1,��• �� 'i��n`� i � ��.. .. .^ ..�c. 1i�T '�'Sy���y « . . "^,t � ' �' " _:..r-. r+n++�a'^h''ir'�v?K��i--.r.-+�.=-=..v.:. . ' f.`--...-.��. '�.....�,,.�._y.,.:�_.-��.+r��.Lr-'T�'-Y•��, Tti :.�. -.-A..�-..L «y� . . . . . , . '. . . . , . . • _ � �'�V'� - = J ,i i , . . �' . Wr.�W � ' A !� ' ' � . �.._..y._____ ' , �t~ �1 � +� . �� i. j� !t _ �� t� - i ---�'j --(� � + , ."� /� , 1 . .:}; 7 . . � w� .±� 7 ( _�� ,i-...�1 .t. t � .�� �<<� �3� .� �j f� ,. . .x � . . � . � . . . - . � e . t�... -[ f j� � � . 1 �� � .�: M+ � . t; � 6I � �' . e '7 � . , � RECORD OF DEA9'H � ... ':-:. !-- j-^. ! # 1 f i' !t , e :y,1 F " 't i' `�1 . � 4 � . � : � � • � .! , ` {.'�� 7 �a. t:�l,� r�_!„.,a,.; 1��� i ��,:�Y�� ��.�� �=��R � ri ii y7 0� it �;r �� � �.: .:. r t �' � t F : : t t �, GIBSON COUNTY DEPARTMENT OF HEALTH I 1-�^, � , � : � ' ; � � rj '� � � ��- .,~ � ,' . Ff. � PRINCEI'ON,INDIANA� :— o �f., � �� +�; r S�•t� f!'�yt3�� f��""�:.� ' � `;pr.. , . •^ . � . _ . .,-. � � t� �� . . i .. � � . . . ..- _ . . � ' 1 �li..,. i'�i ! . �•` t. •.i: � �.'''�� .� �_Cr . �� �;;r� � �.�.. � � I.�1 l... • . � THIS IS TO CERTIFY th►t our records show "� " t AOY`@lORKMAT* ` �� � �� Z` t' _ ' ; ' + ' �;( . :' � :-: .a� „ -" j _tit! t , , t� � . ,,,; � _ . ' ' '" died i . . ��. ., , . :; ! :.r-..', .5�.--::.-:-�t• , .�1.--°' .� r, •, .. ,f -. � • April , �' 13 : : 1970' •: t � . ., : . 4 � ;-,•.�:,; � , .�J �� � ' ��� � ' at4�/OPM n viii� �..,, , �i �month � " " � , 3Cent p 7. =i .'? � -' :.. -i� _ ,'. � da"9�';:-��.r+�yenr (tS'!: .. =--:.1, hour ot death `.:! � -' . atreet, hospital, rurnl , ' _ .� ,, Age at Death ' �j �nx ' Male � �lor� ` �Whlte ''� � -;�-�MaTrlea"�' {. ��.• f � . , 7 ..._ � i�;. � r vea.s. i. � � 9 ' � .."� �..�; � �' �� "'. 1 � f ' i� �;� -i� �r" f' �i' �`vi'ite whether�mamed or�aingle �J � �. � . � . . ' _ � .. . -. ..��Y..f � -,_ � �yt,_.., , _ . -. � : ��-_-:. � .t _� .�.. .. �. �. t -�_ . "Primary'ci,useof'deathgiven`was �"`'�""Confteative heart'�failure��`°+�`°'�=-� 3i== �' _�? . � .�� •� .., ��� . �" - _ :�_ � - =� -:� .- ._ .� .:. � :--�� ; , � � 7 � :� ���" ,.-^ '�' . - , . �: � .. , . �� . . . . _ ��. ' i+- . _ �!. " .►�^ � � :1� • . . � :.. . . . .. ., . . . .. � . �._ { - e .� .�I . S�gned by Terrv�A.-�South M D : �'� Pose ville, .Ind., .._;; ;,- = , : �;,�, • � .: !� _ _ . Phyeicinn or toroner � �`— �. � _addceav, i �-�r V. . . . � � 'S: ,� . . ��.y�;�:.-.: � . � �.. •i�, �' '_{j�� � ,i .: 1' ��: ._.:....!''_i .�� : '_ i i� �:, . "' , � Place of burial or removal— � NosevVille'Cemeterv •• � PosePV� la i " le Tnrl ;� . i . , rame ot cemetery _ � � . � . . nddreae �. . . . , r �. Date of burial 4/151_24 � Hn . � ; . � - ij � .. �'y �� ` . . : Foneral Director � Ij -� Tn�_ . .. , ' ~ f �. � SEAL • ' ' �' {r" ' i--S��e ' ' /,�Q' _ ~' - ,I . , ' �.� �� � � � -� _ ' , . Gibaon County Health Comminaioner � � � :;':� . y- 'i ; _ �. � � � : � Princeton� Ind. � 4/'LO/70 " '�, `� � � . . , adaress � - � • "r. � .�f:_ . �_ t-.'� .'..`".` . '.. � , - �.,. .. . .. ' Date .� Recordeci locallg in book No.___H-51 Page�No. � 4' �led: �u/�n/7�` ' ,.. r_ . - , , . • , i �:_ : . . . - ' i , , -,i - . � -, r .. . � . �ri . , , � .r . ;, , _. . ' . � _ ' .. ' ' L� 'r . f ' . . . . . . ` ; �' . . - � ._ ,... ; .-. .....+�� .. ._• T `{ .�� . ' _ .�j .. .,.. � �n ... ^ .��. �.�J ...�. . ..� . y.Y',.�.. r �. 'I . . . . . .. "' ' . . . . ' _ . . � . .. . � }..� � � � ��.. 1� .n . ���a�r ..1_s%�'l... .. ,J.a LJ�... � 1 . � .a - . . „� • .. .. .. . . . •