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Death Certificate - Brown, Floy L_3/13/1978REI;ORD OF DE aTH
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GIBSON COUNTY DEPARTh1ENT nF HEALTH
PRINCETON, INDIANA
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'CHIS IS TO CEKTIFY, that our records show _°LOY L._.BROWN ___________ _died
6L2�77 __at 4PM-- Taft=Town Rd. __ RR 3 Princeton, Znd. __
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month dsY 3"ear hour of death � street, hoepital, rural
Male Nlhite Narried
Age at De3th_ �3 --SeX-----Colot'_ -----i�Saritzl StAtlls— µ,rite whether married or single
ycare r
Cancer of Prostate __ _,__ ._ __.__ . --___--
Primary cause of death given was---- -- —
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James F. Peck, M.D. Princeton, lnti.
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ph}'sirinn o[' cornner
hurial or removal— Maple Hill__ Princeton, Ind.
name of cemetery
6 28 /77 Colvin & Son
burial_ --� --f -- ---
F�neral Director
address
Princeton, Ind.
address
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'��� � �sEal. ssgned_—__ --------
Gibson Cuunry Health Co issiuner
�{g /�_���% Oakland City, Ind. _ 7/1/77 _
���I./ address date,
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� Reconled iocall�- ui �uk No. _ H-5?---Page No.�Filed:_—�L�!!--------
