Death Certificate - Blair, Daniel_6/14/1971RECORD OF DE_�TH
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GIBSON COli\TY DEPr1RTJ1ENT OF HE �LTH
PRIVCETON, I\DIA�A
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THIS IS TO CERTIFY, that our records sho«• DANIEL BIAIR died .
March 21 1970 at2�20AM Glb. Gen. Hos�. Prineeton. Ind.
month da}� year hour of death street, hospital, rural
:1ge at Death 74 Se•c Male Color White � Wldowed
}•ears � . «�rite �rhether married or single
Primar3� cause of death gicen «�as PulmonaTy EdemS
Signed b5� Rri�r$��j,�y �0 Princeton, �t��3
. , "— ' physician�or coroner - - 'address
Place of burial or removal I.O.O.F. PT1riCeton� Ii'ld.
name of cemetery . address
Date of
SEAL
Colvin & Son Princeton, Ind.
Fhneral Director
„ Princeton, Ind. 6/14/�1
� � ' address Date
Recorde'd locall�- in book l�o. 8 page No. 5 �led: 3��5���
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