Death Certificate - Cloin, Paul L_4/22/1997.'::.>.
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- �.GIBSON COUNTY DEPARTMENT_OF hEALTH
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�: 800 S. Prince St . _' �[ ,
� fi Princeton, Indiana'47670 �: , 1 i. � : ? , .,,J
- - 812-385-3831 r��;�i: - `.�'. .+""� :, _�. ,�_
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- RECORD OF DEATH � ' :` - , -- ' `
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HIS IS TO CERTIFY ' . ". ` . . ° ' -' � ~�.
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that=according to the records of the Gibson'YCounty'Department`of Health,
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,*'+� c� .= PAUL L: CLOIN _ : .
'�D d on 08/14/1996 at 6:15AM � '
�;:=.w •-' � Gibson General Hospital ' ' _ -
�,:,:,;-,� .. 1808 Sherman Drive -
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Princeton IN 47670
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"f �=-�=Age at death .
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. Marital Status•:
77 Years
Married
Sex: M
Color: White
Cause of death: Pulmonary Embolism ( sudden death)
- Cancer of Colon
Signed by:
Place of burial
or removal:
Date of burial:
Funeral home:
S E A L
Cho Yong, MD
General Medical Offices
Princeton IN 47670
Z.O.O.F. Cemetery
1015 N. Hart St.
Princeton IN 47670
08/17/1996
Kendall Funeral Home--
520 S. Main St.
Princeton IN 47670
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Signed by
�(��,ra„a, �,°•�,I�►9
Gibson County Heal Cor.unissioner
Oakland City, Indiana 08/16/96
Address Date
Recorded locally in Book No. 13 Page No. 18 Filed: 08/16/1996
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