Death Certificate - Compton, Virgil W_6/29/1976�� __ . _ ___ - :�_ __ ______ ___ -_ _.,'
RECORD OF DEATH
� ' �� � ' ' GIBSO\. COU\�Tl DEPART\fE\T OF IIi;:1LTH
� . PRIVCETOil', INDI:IVA �
THIS IS TO CERTIFY, thnt our records sho�v VIRGIL -W. C ht Qn� died
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A�TS� 2ri, 197�at—��t��OAM __428 N. (;5hsfln Prinratn�, TnA
.� . month dap yeaz hour of death . � � street, hospiial, rural
Age at Death �4 Sex "�ale ' Color l�hi#P __\Iarital Status DivorcPd
years ' - write a-hether married or single
Primarp cause of death given wa� Anvta Mynrar�jal Tn�a�rtlon
Signed by R�.���o n+.+ i- n n Pr1 nrPtnn TnA
physician or coroner address
Place of Uurial or removal I•0•O.F. Princeton, Ind.
�i name of cemeten� address
Dateofburial 4'�20�'75 Colvin & Son Princeton, Ind.
Funeral Director address
SEAL
e
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, Siened �`��������"�L ��
� - Gibson County Health Commissioner '
Princeton. Ind_• 5/1/75
address da:e
Recorded locally in Uook No.� Page No._—�Filed: 4�3���5
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