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Death Certificate - Camp, George D_5/5/1983KwJCORD OF DEATH � � GIBSON COUNTY DEPAPT➢IENT OF HEALTH � ' PRINCETON, IA'DIANA � � THIS •IS TO C�RTIFY, that our records show_� GSORGE D. CAPIP ���� Ju�,y 5.,_iQT�—at—],DiOSPM 442_li_.�.B�t. Ft. Branoh Ind month day year hour of death � street, hospital, rural � Age at Death 6� �ex_9��a ��o�• White hqarital Status �='I'led years � � � _ write whether married or single Prima�y cause of death given was Acut.ga mvQ�rdl9LLnfeTatlO*� , _ Signeci by address 3- • tixce ui Uul'idi Oi ieiIIUVa ' VR2�1L'L a��� — "' Ft. B2'anOh.�Ind,_� - .• name of cemetery- � �. � address � �� ��� " ' . � 7/8/94 Isib Funerai Hemw F-L.—��'BASh�—�3t�� Date of burial_ ' � �- � Flineral Director - �� � address - SEAL Signed ��G,-"`4i '�l�}i�ii{Y1wu.'-Z �%i� — Gibson County Health Commissioner Princeton, Znd: vipf�4 8aa�� . aac� Recorderi locally in book No.. _ H-51 Page No.__�_�Filed: ?./��n�