Death Certificate - DeBord, Charles Kenneth_10/26/1992RECORD OF DEATH
G113SON COi1N'PY DI�PAR1'M�N'1' OF III:Ai.TFI
PItINCN:7`ON, IND(ANA
� � s �
i i i _
�
. i , ��
'I`Ii1S IS TO CrRTIFY, that our records ehow GI{ARI�LS KrNNt?TI{ DeBORD died
_��11957 At 10�30Y�1 _ 502 S. Ra.ce 1?r•ince�onLlnd.
month day yeur hour ol deulh atrcet, hospital, rurel
Agc ut IleaLh ��� Sex M' Color wh• MuritAl Stutua Marri.ed
yeure wrlto whother mnrried or uingle
I'rim:iry cxuse of det�th given was
Coronary thrornl�osis
S�� ��`Y R. ]i. Wei'C2e1., M. D. Pri nce'ton, Tnd,
phyeiclun or cnroner uddresa
Pla�ce of bm•iul or removnl 1•�•C•F• _1?rane]SCO, In�• _
nnme n( cemetery ndJrcae
IluCe of buriiJ_5,L1��5.? CnLvin._&_5on—Pxince:ton„tnci.._ -
IPunernl Ph•eclor ndArcae
i,(�Gr/ iG�Y�l�.°��`k`,2'
9F,A1. Signed
Gihem� CnunLy ISculth Conuniduioner
Oakland Citv, Ind. ]0� 82
ada���, anie
Rcr.ordcvi Inr,:illy iu i�olc No._ � Puge No. 2n� l�iled: 5l2?! 5� —
�
I
.� .
. ' ! , �
' .
.•