Death Certificate - Carnahan, Archie Ernest_4/20/1990RECORD OFDEATH
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GI}3SOi\' COUN'I'l' DEPAR'1'I�iF,N7' OF HEAL'I'H
��ta�ce��o�, rvouna
THIS IS TO CERTIFI', that our records show AR H RN CT CARNAHAN died
April 17 194 a[ 7:15 A.PI 7 R F'�_�k Sr. vri���� I;
month day �car hour oi aeeth street, hospital, rural
Age at Death 50 Sex Piale Color Whi ro ��arital Slatus Ma r; d
veers
" write u�hether married or single
Primary cause of death giaen µ•as Coronarv Thrombous
Signedby Ray C. Smith oron r Pr; ar r
phpsician or coroner address
Place of burinl or remoae Ma le Hill Prin _� In
mm�e of cemeten� address
Date of burial Aoril 20. 1942 Colvin and Son Princeton In
Funeral D�rector address
SEAL
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Signe ; �-� �: ,;:"'�IG. K= ,�i,P%
Gibson County Health Co issioner
l)akland_(_'.=fy In F briiary 1< � 99(1
eddress ' � date
Recorded locally in book No. 5 Page No. 68 Filed: Aor; � 18 I q�
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