Death Certificate - Allen, George Francis_7/6/1973RECORD OF DE9TH •
�
GIBSON �COUNTY" DEPART\IE\TT OF HEALTH
� � PRINCETON,INDIANA � � —
'I'HIS IS TO CERTIFP, that our records show GF'OHG�' FFUTATCTS ATTFa died
11/13/1959 at2:'iOPM 1;1h. Gen. Hnep. Prinr.etnn, 7nd.. -
month day year �� hour of death � � street, hospital; rural. '.. - �.
Age at Death 5� •Sex Male Color � Whlte Nlarital Status Marrled
. . years . . � . � , � - ' ,- ivrite «�hether married or-single
Primary cause of death given �va5 Arnta rnrnnaro tt,r^mhnc.ic
Signed by R. G.Geick, M.D. Ft. Branch, I„d.
. „ . . . . — — ph}•sician� or coroner --, — - —, — . • address ' . . . � � � '
Place of burial or removal Providence FranclSCO, Ind.
� � � �name of cemetery _ � � address � � - �
Date of buriat 11/1�/59 I,aib Funeral Home Ft. Branch, Ind.
� . . F`uneral Director . ' addre;s . . � � � �
SEAL , �
�
. . S"i"" "{/ ". � ` //( Y! - .
Signed
� , . Gibson County Health Commissioner
� Princeton, rn�• ?�5/73 .
- . . . address� . . - - . . dyte
Recorded.locally,in^tiook No. 6 page No. 286 Filed: 11/16/59
: t .,. .