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Death Certificate - Weiss, Dorothy_9/20/1982;.:{r_"..,',N .,,,,�...' �� �,.s..]f�•i...'"9i . 3t�� PU.y}1 ) � '�� . '^�1t " , ._ �.,, l. �� � i.'-. i'. �. E '. RECORD OF DEATH � ��� . � �� f � �� . �• • . . • ' . � � ' ' • ' GIBSON CO,UNTY DEP TB • ° � � � � ' '� ' PRINCETO `�IN] ,.' z � '.,• �,. r.. T.; �,� ; 1,' � �;•.. ,.. �s�.�-�r_...� � : ' THIS' IS TO CERTIFY, that our records show � � _. � .aj�lr. .�� ..,� . { ..:.i .k .h.�7". .,d. �i.���il.i; . � ,F... � Ju1Y 29�:.1974�a : -6�30PM.�.:,,.:;;:-�;°tt 4 �3 „ � month day,%�' ycnr� �it;'• hour^o['death ii"�� �""�: .„1'�' . .. , 3 , w ; � ,,,, . � " 64..1�, ;;� =,,-la•,•: a,. ^" Age'at Death`-- -ReRT Female=�� ='�lor- ��� ;` r^ "�� l... � 2�_ i ' t �i �d.�.i��-')ai! 1 �� . . . �.. 1; 41'f�Z� �`. i [�IT OF HEALTHe `_ �: E�a a� `' .�i�ii: :., ,� ' . ... t! 1: !1 "Li:f , • Main, .�: . -� � ' :t -r° t' d' e+ i' ..' `'' , j " . � �� � ( ' �� '! , ♦'11.91 .W. . :!i 1 �; 1� .� � +R ,t, a ,� t��-� tt � �-r� = trss. ' ... .� .,;�� ,, ,, � ..., �. ... . � C � �.4E �' 0 .�t./ ! ' �-. Muri4al� C�n4na-:1: ... MA i • ! y l { tt � � ;� Etr ��yeais'�Y=� .J.. .�� . +� (:�d- i l7.:."._� �i: �. ' i wrltewl Prima � cause of death .ven was:" t• `�'`��f � ;- �,���.' i7 - � � ...-: . �:: �� . � .�. � .. ... w��wv„ •AA �.,�.ii ` � -.1�:. ' ,i 'd� l � 'j ,. ; ...;i : ; , � , -�i ' .9 �j -,. �r � '. �� .� � :,: j .a.:� 1� i1: " = Signed by - �rold'G.. Petitjean. {� :��' � : ' : , - j . � i '. _ �. . Phys�c�an or coroner ,� � � � � S ! .. � . :`., .";— �1 . ., . . � .� i: X:,Place of bunal;or.remova'f • �.� st:l J e '�.:' . .t :;; i ; ^�- i �,� nnme'oYceineterY: ��;Y' 2 �. � , �^r �1. � ��. Date of bunal�"''= 8/1°/94r� t� Ffade Ftlner�l H� ' j -- ! . .=.� r t.� " FSinernl � D�rector .� � � ..� �: �._ , � � � i •1.� .( z �. ' (�- .1 �r� i �'"" 1, k t �� ^ ri_,.., t.# � � � �o� � �� �, ,/r ., x f� 1r Ki : E� �p `,1 �.� +` t �t � e li i4 t Y.a;� F . �r t � .:�r � :{ i � ,'. c y � I_e� sj ei1 SEAL ii �r,/ t r' ,�,. '�� iy ��l, s 1 .:9� It i+ a 41 t{r�•� ol t 1 � 1 � ^� '- , Igne �Fi i7 �� . 7 3 ,/ ,(; >jr�.' �7 i.. .r '` + �°7 ,"*,�t��. �P � � f:•f �d �1 �.��� 1� 4•]�'{ [' � `� i! iilr .ii j� ... �,v�y' ...�� ..Y (.� � ^T. ��y+y-h 1...�,,. y �r it ;�,� � 'r S !� I.�. �� a'.t� !1 .'V� r2 (S "'. 11 . A.a�' � 9 � � .�� ;�. �t � � ,, l! :15.; 1=;.;.fi, • Aw�1lhatAdLy��.T� ' � 2 '6dd1'CBB 3} . i, i. J Tr g'� 7]� ,. 4��._���.�� _��r ��� .�.1i:. :�.:.. �_,.. }'' .>. I' .. . r eilt :.�, � � . �. , E'w-• . �. a�zied! or, eingleC , i r. �:: ,� �;�: � f �P SI � cr . � � "^" � '_�,. , t �f` i i.fj i� .� s= , Ij�: ,a� ia � ; N j�' i..����� � � A1.. j j� ,{in !i .�tt:� , ti '"'•i..addresa�il� ,it "!� )) !:' t[ F1� .; i ���r me;< #�•;� HanDstadt. `Infl�� .�f.�, �� +, 3� :�:: e � F} y addres`e " � 1rj t ]j '.,.-+� t} s,i E. �`iK�{Yl�f�� � ; x� � �n�� '1 Pi j �Y (t �' 1 R i `p {.y.Ai � �'� I pr�� ( �.��n �� ���.:..Nti�:w�'�V1��� �l 1r.`�1�,� `'i� � ;" t'"' 9, p� / o�^' d� 'J� ...��',�� ������ �� .. r� A�., �e� ...,,,��:. ''�f !t's'�lir��,��,c�.CS'�'b._��� li `..rl.::� � - G�bson County Health Comauseioner � p^A- {{ �` .trc�� °4"�.- .K�r (�. `"S t� � •S� � �+ d�t j'7w��"r'.",�," ' ri � �'..�� � m 4'':.",s ...., 2'��f1QAtAPIi: T�� _�. s oi , e. A/!. /nN.��.. „��.".°.� t , .. , y{ .9 S � M'! .. S . i w � - r . o.. c �.a �;,r. R ' (/ � dOt9 : � r/ f(e � If .j ��.:� � .Y3 . f���...�) . ` f. 'k�v �. . �i � ,�:1� '�^� ��. M. �p �t+'� � ���� i 1 1 f , 1 i 1". �' Recoxdedi}ocally•in book �No g'-e�� '.. n$$e Na 54 �,� Fil� 8/5/74 i� - r r ,.� �$ ,, ;i�» -- f : , i : _ �ti . . , � �, . , , w �. �. ," ; ., . ' . , , � � # � . -. i • • - � ; �rt�� � f,� 't;'� �����._� i ��"` .i' � � , . � .�fs .`� •,�tit ' _. << .. � . , . _ . _ �. . . , __ �. . . , k �, �