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Death Certificate - Warth, Edward W_7/24/1972RECORD OF DEATH ��IBSO':�T COUNTY DEPARTD'tEATT OF HEALTH PRINCETO�, INDIANA ' ' � THIS IS TO CERTIFY, that�our records show__Fni�nRD_?d__WARTH_ died � r„1 tyc LS—lR-%2 a��OAT�----- -- Hazleton, . Tnd. . . , month ,. � day year � hour of death ' street, hospital, rural ,.. . � .. . . ,_ . � • . . �-�� ... _ -�.' _ . A e�at Death ' %� � 'Se���l&1e Color . w ,� .�. y`.:.�,j �'i;.; • �E� g hlt-e_ � M8'r.ried• � , � ' ' . . ;years ' w•rite whether married or eingle . ._ .- � Primary cause of death giyen was—_Acute, M,yocarciial Infaretion _ � � Signed by , Loule �0. Dayson, h'fn _Vincennes, Irid. • _ . _ -_ . ___�. _ . .. _ _Physician or roroner -- _—� - -- -- ` _ address -- ' - _- ,-- --_ "-�- Place of burial or removal I. 0.0. F. _____ Hazleton,_Znd .' � _ , name of cemetery . address_� �_� • � Date of _ SEAL Signe � • � � . � Gibso i County a�7rli�i'oner � , � Princeton, Ind. � 7/24/�2 � : . _. address ' � � � Date � Recorded locally in 600k No. H–�1—Page No. Ltl�iled: �/19/7'L '_ . . . : . -� . . • .' , . _ ' r ,i '!.i , , .. . —.._ _ . —_ - -- .. - - - �- - -. . . . � - -- -- - - - -