Death Certificate - Burns, Paul Rev._8/31/1981:ECORD OF DEATH
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GIBSON COUNTY DEPART➢fENT OF HEALTH
PRIA'CETON, INDI.INA
'HIS IS TO CERTIFY that our records show �V • PAIJL BURNS
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--12�19�192$-----at--5%30PM - _Gi-b.-Gen.Hosp.--Princeton, Ind, -- -
month day year hour of death street, hospitnl, ruml
.ge at Death �4 �ex M' Color Wh' Marital Status M•
yeara write whether married or single
rimary cause of death given was Atherosclerotic heart disease
igned by James F. Peck. M. D. Pri nreton Tnr� .
p6ysician or coroner address
lace of Uurial or removal Mont�ome�y �akland Clt.y_, Tnd.
name of cemetery address
ate of buria] 12�22�7& Pemberton � Lynnville, Ind.
Fl�neral Director address
SEAL
GJ U��c � � � �
Signed _
Gibson County Health Commiss�oner
Oakland City, Ind. 8/7.0/81
sddreas dat¢
ecordecl ]ocally in book No. 9 page ATo. 7 5 F���
12 26 i8
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