Death Certificate - Butts, Johnnie R_6/30/1980�� -- �--- ---�_...._._...
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GIBSON COUNTY DEPARTA1EtiT OF AEALTiI
PRINCETON,IIDIA\A , i
THIS lS TO CERTIFY, that our records sho�a �i0Hn;9I° R. BUTTS died �
---t2. i2.77 __fl� 10:25Ai�? Gib. Gen.Hosp. Princeton, Ind. `
mar.:h �Sny penr hour of deuth ------^ strcet, hospitnl, rurol
Agr a6 Death 30 ni• 'dh.
SeX Color_ Marital Statu9 �'•9aTried
years w�rite whether married or single
Primary cause of death given was �Acute resnirator distress svndrome �
Signed by �• C. Bri:tik� t�0 Prin�P�nn,_ri�.
uh}�sician or coroner addresa
Place of burial or remocal_ I.O.Q.E•__ Prin�et.Qt1 Tnd.
name of cemetery nddrr.sa
Dateof bw•ial__ i'�1�f77 Kendall � �
7 ri n on Tn�
Funerul Director address
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Gibson County Hcal[h Commis-' .er
OaklandCitY, Ind. o/j0/g0
nddress �iate
P.ecordeci locnlly in book ATo. 9 pnge ATO. 54 Filed: 12�21�77
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