Death Certificate - Bates, John Robert_3/1/1976- -- - - s ' - ---
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�' ' RECORD OF DEaTH
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'GIBSON COUNTY DEPAP.T�IENT OF HEALTH
� ` ' � PR[NCETON, ItiDI.�NA
I' �. �'�THIS IS TO CERTIFY, that our records slio}�� JOAN ROBEF.T BE�TES died
` Feb. 23, 1976 at 9AM 323 E. Pine P�,inceton, Ind.
$ month day }'ear hour of death = . , street, hcspi[al, rural '
�
� Age at Death 6i Sex Male Coloi��hL�\Iarital Statu� Mgrris� .
peazs � write a�hether married or single
Primary cause of death given was M9ocardia�infa�4tton
Si�ned by Wm. F_,��*a, M.i1. (kij�anAt'.1 �tv� TnA.
�� ptn�sician or.coroner address
Piace of Uurial or i•emoval Warnock :Princeton, Ind.
� name of cemetery address
Date of burial Z�2f+�76 Colvin & Son Prinr.�tpn; T„�t_
Funeral Director address
SEAL
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Signed
Gibson County Health Commis oner
OaklandCity, In�• 2/2�/76
address date .
Recorded locally in book A'o. 9 Page No.—��Filed: 2/26/�6 "-�