Death Certificate - Davidson, Walter R_12/15/1983tlsCpltt) OF DEATH �
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GIBSON COUNTI' D�PAP,Th1ENT OF HIsALTH
1'RWCr7TON, 1NDIANA .
'IItS 1S 7'O CERTIFY, that our records ahow�3c311�es__R Davidson �
died
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month day year hour ot d�a, � ' �e�L_�io.spital_
� ctrect, hoepital, rurnl
tre at lleath_._7�__Sex Ma___ 1�__��or Wh � t�rlarital Status_ Married
yeern .
write whether married or vinglr
rimary cause of death given was Metabolic EnceahaloF•athv
�rned b}�._ Arun C. Kumar M.D, princeton Indiana
phyeiciun or tornner - — .
addr.�.cs __
��ce of burial or removal_pav;dsnn
name of cemetery
dr. of burial�! 9/ R�i xa � i i� o
me--
Fl�neral Direetor
SEAL
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addresc
__Princeton__Snd_ �
address --
Signed �_ L ��—��� �°
Gibsn:: County H�xlth Commi ner�
PrinrAn on Indi�na 10 28 83
addrrss ��
-orded locaih� in twok No.— 10 Page No. 8? Ftiled: 3 10 83
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