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Death Certificate - Weiner, Michael H_4/5/1977AJ t . �; r �' r � �. r . '" . . . < ..: ^ -. ' " x} � ♦ � : � . Y - . � �. : . i , . � 4 '� � 1 � '.�. -��r i ry . � .��. 'S,1 ., .`if � t � . .. .i... ... _ .....e... . . . � . .... . . ...... ..(r�...u. . , t.Ji;:�' .a_�tba�l, r:" � . ^r: sr �� r� '�" y .. 1 A] �. ::a tS '°"4, . ., .+ ! I . � � �i. i � .'r �';1r ,.`', : ,. t..i � �� r'� �..4 ..tr�t �.,,. � a C Y% � �� ( nJ Y � � L:• `r _ �r. ,. ,. . � ..�. :� ..., ..., � r r.'�. � — ..-- _ �� . .. . . � �:�� ' .. . . ., . ..., .. . �.� ._ . � ' .l."wJ. �- . ' . .. .�"' �.a .. "�� .�.�— .� � . . . .. . . . _ .' . _.__..._i.,_ _."'_..'_' __.._.,... -... . '.nf.v.. t ^ I .:. ,..' , . : � . `'� ; .� �' ',.. � � 4 � � � : :rt , �v- . f �.r;� r � C ' . \. p. " � :,' v , - i: f, o i I." t t'LK µ YY { ��i_ 1 .( . f t � r„y �� _�_�'.�.��__�.�.�..�..��.�.._.__ . ... � , �I RECORD OI' DEATH ,' � ; I , i .. GIBSON COUNTY D�PART�ILNT OF II�AL1�-I ;: , f S � � - - , ' PRINCETON, INDIANA ''� "� � - �, . "� � � . , . . . . ... .�. . . . i . . . � . � . ,,. . ,. . . - . . . ... . . .. '1'1llS 1S TO CIs1tTlFY, that' our records sl�ow MICHAEL HAROLD W�b,Efi � d�� ! �/9/1976 at_i 9AM Gib. Gen. HosL._Pr�ncet'on In�1 �, month day year � hour of death � �� street, hospital,�.rural ' , .. � .. I�:�, , .., .. . �,. F 28 ;� Mnle Color�^Ihi.te�<LI•1�11 Status � `' Mnrried ` AgC �it I��.lth �� . . ' ��]� whether married or single � 4 � . ycare I , � . . � , 6 . _ � Primary causc of death giv,en was—Fsar.ti�rTrl sku]_1_and_br_oke.�–nu''' . ,'.' � .. . , i. ' . I'' • Signed by Rt c.�ax��i.I)illin�h�-m-.–IIe-Put� Cosonea , P-�-lt��e�oM-. I-�-.— ; � physician or coroner hddress , 1 I.O.O.F. FrAncisco, Ind. �. Place of burial or removal � - t ` . - . - namc of cemetcry � : . , address : -,. , , , �_. .!' .. . : . . _ . llltc of buriail v�L7� KlndA�� Fu71ex81_Kome-- Prlrr�ton., TnA_ I '. • I�neral DirecWr � . adflress , , - � � �� . . , � . ' . . - . � � v 1 L�� / `� i . �` ( � � . . • • SEAL Signed � � � • - � , � Gibaon County Health Commiesioner ' ' Oakland Cit;y. Ind. 7/27/7� . � . . � . addmss � ' . . . . date ' . ' .. � ♦ . . . f. . • r .. � . � . . . ' .�: ...� .. ..�. � � . � 1 1 . . ' . �. � .�.. . ... . " .. .. . ..� � - . . Recorded locally in book No. ' 9 Pnge, No.— 2�iled " ��1 ��'� � , � a ' ' � . . � , • i . 4 . . . . . � � 'ti0 ��1' ! ! � 1 J�'� � c.... ... . . ....... � ..... .c�. ' ;� ,�?fy�'t,l:. . ' � ' � . ' . �, „ ' . . . � �:', r '! .r... i1i . . . .. . . .'i. i . . ' . . �. ��" . � .`�...� � `ti a I n�.