Death Certificate - Beloat, Ralph M_7/2/2002� �
GIBSO�OUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
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TAIS IS TO CERTIFY �-
that according to the records of the Gibson Couaty Department of Health,
RAT,PH M BELOAT
Died oa 09/29/1983 at 6:45p
Gibson General Hospital
- 1808 Sherman Drive
Princeton IN 47670
Age at death . 71 Years Sex: M
Marital Status: Married Color: White
Cause o£ death: Acute myocardial infarction
Signed by: Honesto K. Fenol, Jr. M.D.
110 S. 6th Street
PeterSburg IN 47567
Place of burial Owensville
or removal:
Owensville IN 47665
Date of burial: 10/02/1983
Fuaeral home:
S E A L
Holder's F�neral Home
319 S. Main
Owensville IN 47665
,� G� �'�,��i
Signed by
Gibson County Health Cortunissioner
Princeton, Indiana 07/02/02
Address Date
Recorded locally in Book No. Page No. �101 Filed: 10/17/1983
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