Death Certificate - Beauchamp, Fred Linder_1/5/1984�
Ii�;CORll OP DEATH "'
�
GII3SOIQ COUNTY DPl'4IiT!141:NT OF II�ALTII�
PRIYCETUN. INDI�::A � �
Tl,[IS IS 1'0 CERTIFY, that our records show---� RBn T.TImRk RT'n.O�;
�/ 5/ 7'
mm�th day yeaz
haur of death
hospital,
Ag� uL Deatit 64 Sex M• Coior !'1n nZarita! Status D7arriec�'--
years write whether married or single
Prim.uy cxuse of death Diven was �•7yocardi.al infarction
Signed by N t� PeterG. �0 OaklandCity, Ind.
physician' or coroner address
E'E::c.. r,C ;,.,�ial o" :2meval ""or��o-er� nak'anri �__�_,±�.�.�_It'� -
name of cemetery .uddress ... _ ___ . . _ . _ ...
Date of bu�•ia1�8��1 ,Corn Nlortuary � Oakland City, Ind.
� Fwneral Director uddress
SEAL
� �� �° < ,�,�,
s;gn�a
Gibson County Health Com issioner
Oak].and City, Ind. 6/6/7q
addreas
date
IiewrdMl locall,y in book No. H-5i Pxge No. i3 Filed:..._—�1.�! 71 _