Death Certificate - Certain, James Stanley_9/3/1987xicoizn Ui' nc_�z�a � �
GIBSON COUNTY D�PART�I�NT OF FIEALTH
' PRINCETON, INDIANA
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THIS 1S'PO CliP.TIFi, tliat our records sliow JAbiES STANI.EY CERTAII�I
Feb. 25, 197at Z;20AM Gib. Gen Hosp. Princeton, Ind.
month day y�car ]�our oC death street, hospital, rural
Age at lleatli 67 Sex N1ale Color Wh—_Dlarital Status Married
vears �vrite whether married or
Primary� cause of deatli eiven «-as MyoCaZ'dlal infaY'Ction
Signed U�- James F. Peck, M.D. Princeton, Ind.
physician or coroner address
I9ace of bw�ial or �emocal Rose Lawn Terre Haute, Ind.
name of cemetery' address
Date of bu�•ial 2�28�7� Holder Funeral Home Owensville, Ind.
Funeral Director address
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Gibson County Iiealth Conunistionrr
Oakland City, Ind, ?/1i/;'�
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l.ecorded locallc in bool: A�o. ° P�ige No. 38 Filed: 3�14�»