Death Certificate - Barnard, Charles Russell_4/4/1984RECORD OF DEATH
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GIBSOti COUVTI DEP_�1RTlIENT OF HEALTH
PRIVCETON, IVDIANA
THIS IS TO CERTIFY", that our records sho�v CHAR�ES RUSSELL BARNARD died
3/21/198z at 9:40AM Gib. Gen. Hoso. Princeton. Ind.
month day yeaz hour of death street, hospital, rural .
.1ge at Death $� Set Male Color White �Iarital Status Married
years write whether married or single
Primary cause of death given was Cerebral Anoxia
Sianed by �ruce C. Brinic, Jr., u.u. rrinceLOn, Iiid.
physician or coroner addrr.=;
Place of burial or
Montgomery Oakland City, Ind.
name of cemetery• addre�s
Dateoi burial 3/24/84 Corn Mortuary Inc. Qa�cland �itv•__jad. _
Funeral Director address
SEAL
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Gibson Covnty Health Commiasioner
Oakland Citv, Ind. 3/27/8?
address da�e
Recordecl ]ocallp in book No. 1� page No. 116 ��ed . 3/ 2 7� g q