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Death Certificate - Curts, Hansel E_10/28/1974�� ',; � .� RECORD OF DE9TH �. j � GIBSO\? COUNTY DEP9RT\1E\TT OF HEALTH PRINCETON, INDI:4NA - � TAIS IS TO CERTIFY, that our i•ecords show HANSEL E. CURTS died Au8• 1�5i 19%4' at 2t30PM . 514 N_ 1at Otoeflsu��.�e-�—Zttd montfi day � year � hout -of death � � - � � : street, hospital, rural � �— Age at Death 64 �e� Male Color WhitP nZarital Status— Nts,rrSa� _ � � � _ - years � . � write whether married oi� single - � Primary cause of death. given was b7yecard t al 1 nf qr� ti �n . inatant • Signed by G1enn 0. Dickenson, D.O. Owenaville, Ind. :r+------" �"—.� .'. . . physician.or coroner. .. ' . ' � - " address � - .- �' " . - Placebf burial or removal �ensville - Owensv111e. Ind. ' � � - name-of� cemetery address - � Date of burial E/17/74 Holder Funeral Home Owensvil7 e, Ind � - � Funeral Director � � - address � � � � _ . .� . . . . . . . _ _,..., �. - . _ . _ � " . . _ . - - . . �1��4h��E��i(XY""'_ Y _ - . ;� _ . \' .' � .. ' . . . � . 1" , - SEAI. . S1gR0d , _ � . � - - � �� Gibson County Health Commissioner - - � - � ' - Princeton, Ind. E/22/�4 �� . �'�` � ' � � address - date -. Recorded. locally in .book No. H-51 page A�o.�iled: 8/22/94 .