Death Certificate - Cornelius, George Joel_4/18/1978OF DEATH �� ��-
- . - .:_�;
• -_ . GIBSON COUNTY DEPARTMENT OF HEALTH '
- PRINCETON, INDI4NA
THISI T E GEORGE JOEZ CORNEI,IUS
S 0 C RTIFY, that our records show
'� 12/22/%6 at 6:30PM Gib. Gen. Hos
•,� �, month day year hour of death
Age at Death 68 Sex Male Color �itenZarital
years
�. Princeton, Ind. �
street, hospital, rural
Primary cause of death given was Myocardial Infarction
', Signed by
� �i
�Ylace of tiurial or
�
Date of
SEAL
s F. Peck, M.D. •� Princeton, Ind.
physician or coroner
�ova� iraple Hill
name of cemetery
12/27/76 Colvin & Son
Fhneral Director �
Married
t
write whether married or single �
address
Frinceton, Ind.
addiess
Princeton, Ind.
addmss
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,�JG�C!-I �r�i .
$ignC
Gibson County Health Com ssioner
Oakl.and City, Ind. 4/14/78
ad�'ess date
Recorded locally in Iwok No. 9 Page No. 35 Filed: 12�29/7�
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