Death Certificate - Christmas, Alva Earl_9/12/1984RECORD OF DEATH
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GIBSON COUNTY DEPARTniENT OF HEALTH
• PRINCETON,INDIANA
THIS IS TO CPItTfFY, thnt our records show ALVA EARL CHRISTMAS died
11/20/73 12:40PM RR#z Poseyville, Ind.
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month day year hour of death street, hospital, rural
73 M. Wh. Married
Agc :d Dexth —Sex___ Color Marital Status
years write whether married or �agie
F'rim:u•y cause of death b�ven was_ Ventricular fibrillation
$ij,rnr.rl ba-----._.
Place of buri:il or
Dxte of burial—
St;�L
Paul R. Boren, MD
physician or coroner
remova� Liberty
name of cemetery
11/22/73 Holder
Flineral Director
Poseyville, Ind.
address
Cynthiana, Ind.
address
Owensville, Ind.
address
w���.�,�.� .
s��ne�+ •
Gibson Comty Health �Commiesionar
Oakland City, Ind. ' 9/11/84
addrnss � date .
Recorded locally in book Iv'o. H-� 51 Page No. 4 6 Ftiled : 11 / 2 7/ 7 3
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