Death Certificate - Crooks, Stuart S_4/20/1978�,
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RECORD OF DEATH �� � ` `
•GIBSON COUNTY DEPARTn4ENT OF H'�LTH
• PRINCETON, IA'DIANA
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TFIIS IS TO CERTIFY, tliat our records show STUART S. CROOKS died
4/'ii/78 - at 5�30AM Forest Del Nrs�. Home Princeton Ind
��month day year hour of death street, hospital, rursl � � �
Age at Death 77 Sex M• � Color �• n4arital Status M.
yeara ' � � write whether manied or single
�Pr;mary cause of death gicen was Arteriosclerotic heart disease
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Signed by . James r. P�ck; MD Princeton. Ind.
� � � � ' physician or coroner � , ' ) _ , ' ; •:address � . ' -
t! .['lace of burial or ra**+���t Ma�le Hill Pri ncetnn. Tnrt - !
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Dut"c of buria�
name of cemetery
13/78 Colvins
F�nerul Director
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Recorcied locnlly in bo.,k i\To._
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Princeton, Ind.
address � - -
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Signwl � _ _
, Gibson County Health Cotntntssioner � � �
Oakland CitY, Ind. ��:1?j�'fi „
� —Pxge No. 61 F'iled
address
4/11k/78
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