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Death Certificate - Buck, Alva Gottleib_5/2/1969RECORD OF DEATH�' • . � ' • GIBSON COUNTY DEPARTTiENT OF HE:4LTH � � � � ' � - - • �PRINCETON, IA'DI?.NA . . . . . . � . � . .. THIS IS TO CERTIFY, that our'records show ALVA GOTTLEIB BUCK �' died' . March� 5; 1969 _'_atS:40PM Gib. Gen Hosp Princeton Ind. � . month , . �day, , year . hour of death . street, hospital, rural � Age at Death 59 SeX rlale _Color �lhite aTarr� d � � years- ' . � . - � write� a�hether mamed� or single. � ' � • Primary cause of deatli given was ��?assive CeTebrovascular AcCident � . _ .' . _ . - . . _ _ _ � —. � • -*--,_ � ._ _ . ,c - Signed by jdilliam E: Dye, F1.D. Oakland Cit.y, Ind. � � - � � � � - � physician or�coconer �� - � �� . . . - - address • . . � . Place of burial'.or remova� St. John's'.Cemetery �3uckskin. Ind.• ' - - - � name of cemetery � , � ' � . � - � address. � . Date �of buria 3/$/69 Corn Mortuar Oaklan C t � � , � � -- �- .F�neral �Director . � d s �- � ' � . " � � � , '-.: '. .. � . - _ :�r . � .. ., i. . A�n � , i ,R � ' � SEF:L' .. ti .,, _, ` S�gne � - - � , � ^�� : � � � , . ' . � . � . ,Gibson Countp, Health Commissioner � � 2 "�S� - _ - .. - ' ". Princeton, Ind. � 3/l0/69 . . ' _y,' . . .. {.. ' � - . . address � . .� " - � Date ' . � ., . , .s.2. ... . . . . . . . . . . . . . . "'� .. �- � � � Recorded locally in liook No" 7• - -page.i�'o. 24'U' �'Filed: • 3/10/69 � _ i�� . .. � . � . . . � . � .'. � ' �. :.. . � � �. . : . . , � .. . � � . �.. . . . -