Death Certificate - Bradshaw, Charles William_3/20/1991RECORD OF DEATH �
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GIBSON COUNTY DEPARTMEVT OF HEALTH
PRINCETON, 4�'DIA\A
THIS IS TO CERTIFY, that our records show CHARLES WILLIAM BRAUSHAW died
February 8, 1962 at 11:45 A.M. 200 E. Vine St. Ft. Branch. Indiana
month dar yeer hour of deaih street, hospital, rural
Age at Death 54 Sex Male Color�l�Sarital Status Marri PA
years wrice w�hether married or single
Prunary cause of death given was Coronary Occlusion 4 months
Hypertension Cardio Vasci�lar Disease ft vaarc.
S1glledby R. G. Geick. M.D. Ft_ Rranrh� Tndiana
phcsician or coroner address
Place of burial or removal Walnut Hill Ft. Branch Indi ana
name of cemeten� addresa
Dateofburial Februarv 10 1962 i.a;h Fnnaral HnmP Fr Rra„ch, Indiana
Funeral Director address
SEAL
Slgned f/U����f�°"`72•��=3
Gibson Countc Health Co issioner
1.. -�. �. .�. � 1
Recorded locally in book No. H-50 Page No. 2 Filed: Fehr„ar� 9, 7 9F,9