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Death Certificate - Ward, Ray E_9/23/1974-- ,, . . � . �-: RECORD OF DEATH � :I ��' ' "" ' , • � � • ' �,,- �i. � ` �� - : .;.�•.. ' s-� - -- --- �- , GIBSON COliNTl D�PART\IENT OF HEAL7'H ' ' • • � . PRIil'CETO\, IVDI.�1ti:1 t•.'� , � . . � 'y. - . � � ��.:,.�., . . THIS IS TO CERTIFY, •that our records slio�ti• ��Y E. WAF?D �;�,�� i -.'Sept.•3; 19b9 at 3+45AM Gib: Gen.••Hoap. Princeton, Ind�`:' � V � month .. � • day � � year .hour of death street, hospital, rural �" � � �� • 1 � ;: . �i;� :�.�:..., ., • . •. Male • White ' . . ';'Mar 1 d'a.;::; ' • ; ; .1 Age at Death 68 �ex Color �Iarital Staius �_ ' . � , years - �vrite �chether married or sin;le Primary'cause'of d`eathigicen «�as�eTeb�0.l�hnQmbQSls - �_ . „ . . ' . ' ..'fec�:}{ . . . . . .,'�_",.�<r�..+ L� ` _ _ _ . Yr — Signed by Bruce Brtnk�D•4; _Pr-incetoa,—Lnd ',' � _ � � , ph}-sician or coroner address ' ' ' .. Place of burial or removai I.O.O.F. PTineeton� Ind. ' �• _ .- . - name of cemeten� address �� ' Date of�burial 9�6/69 Colvin & Son Princeton, Ind. - ' • •_ � - . . � Funeral Director addre=_s . � � .. . . . . . . . ' . ,:.��.'. .. �: ' � � � � ' � . ,, _ � � � . /�4.(/ � � / � :,��. . '- SEAli i Signed _ � � � _;,; - � � - - - Gibson County Health Commissioner �� . � � - �. ,- Princeton, Ind. 9/17/74 � " , � - ' - . ' � �� • . � address � - datr� �.; � . •. ... . . . . . ' Recorded� locally. iri�book No. 7 '• Page ATo. 27� Filed: 9/9/69 •.� �� .., _ � '' " `..,. . -, . . � .: . , : . . , . • . ', `