Death Certificate - Bates, James Roy_11/27/1974�^� . . F
RECORD OF DEATH ` � � V �
GIBSON COUNTY DEPART➢IENT OF HEALTH
PRINCETON. INDIA V A
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THIS IS TO CERTIFY, that our records sliow JAMES ROY gATES died
3/2 �1965 at ReL,�AM �1� R_ �am17�x'y Princeton In�
month ' dap gear hour of death s[reet, hospital, rural
Age at�Death 45 Ser ?'�ale Color White�qarital Status Married
years write �shether married or single
PT1ri18I'V C2USf! of death givE'R N2s PPT{TYIPT�A1 {/ocn..��_e._.n��g_�o
Signedby R. C. Rr1nk, 1�.0. Prinr.etnn, ind.
phy�sician or coroner address
Place of burial or
Warnock Princeton, Ind.
name of cemetery address
Date of burial i i�l� ?—a -g.o,.�Qas�,� e}� —g£ �e e�o;,.�—�t�d-�
neral Director address
� SEAL
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Gibson County Health Commissioner
address
Recarded locallp in book No. 'j Page No.����nR Filecl: