Death Certificate - Collins, William Leo_5/1/1979�
� RECORD OF DEATH
� GIBSON COUNTY DEPARTn4�NT OF H�ALTH
� PRINCETON, INDIANA
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' TIIIS IS TO CERTIFY, that our records show WILLIAM LEO COLLINS died
� 2=25-79 8} 6�15AM 910 Williams St•, Oakland City, Ind.
� month day ycar hour ot death atrect, hospital, ruml _
� Age at Death 66 Sex male Color White hZarita] Sttitus married
� yeare � wr[te whether.married or xingle
Acute myocardial in:"arction,.
Frimnry cnuse o4 denth given wna_
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Siqned byDav,�d W. Howard M.D. 721 W. 13th, Jasper, Ind.
phyaicinn oc coruner addrrca :
D9ontgomery Cemetery Oakland City, Ind.
£lnce of burial or removal
nnme o[ cemetery nddress '
Date of burial 2'2�'�9 Corn Mortuary Inc. Oa�land City, Ind.
Flmerel Director addresa ��
SEAL
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.Gibson County Health mmiasioncr !
Oakland City, Ind. 3-Z-79
� ' _. addreae dnte
Recorded locally in book No H-52 page No 52 �.;��: 3-?-79 ;
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