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Death Certificate - Allison, Claude Morton_8/9/1974
RECORD OF DE aTH �° � _ • __ �- GIBSON COUNTl . DEPART\fENT OF HEALTH � - . - .� _ PRINCETON,INDI.4NA . , . THIS IS TO CERTIFY, that our records show -'-"CLAUDE MOATON ALLISON ' � died Jan. 26� 1955 at 2PM • Owensvllle. Ind. month da}- pear � "hour of death . . . . street, hospital, rural � : , � Age at Death il . SeY . MIa1e' Color White T'Iarital Status— Married years � , � - . -, , _ � � � � � write R-hether married or single Primary cause.of death;given wae Myeeardlal lntarnttpQ� inatgnt Signed by.__ . r.ie,,,. n_ n�,.i.e.,�...,rB.9 _ ��n�. - � - �phy�sician �or coroner � � ' a ss� � . � - � , Place of�burial or removal Owensvill'a �P�ville, Ind � - � name of � cemetery � - � address � - � Date of burial 1/28/55 Holder F`unera�- HomP Osc nsv111e� Ind � . Funeral Director address � - � - � �. � ..\`,`� � .i. :/ � � atA� SEAL _ -: $igil0d ' _ ���2� "Cf`" ����L� � _ � . , Gibson County Health Commissioner - °'� ` ':= . . .� . _ , Princeton, Ind. 8/9/74 a- — �"` � �. . �' . � � . -. � address _ � date ' lT .\ :_ . .. . . . . . . Recorded"locally;iri` book No.' H-�%7 . page No. 2%Qed: 1/'il/55