Death Certificate - Decker, Claude E_2/14/1980RECORD OF DEATH
GIBSON COUNTY DEPART➢'IF,NT OF H�ALTH
PRINCRTON,INDIANA
Tllli IS TO CERTlb'Y, thut our reconis show CLAUDE E. DECKER ij1e�
10/2/�9 at 11:15AM Gib. Gen.Hosp. Princeton, Ir�d.
month day year hour of death etreet, hoapital, rural
Age at Death 79 Sex M• Color �' T�arital Statua Married
Ye� write whether nwrried or eingle
Primary cnuse of death given was Acute myocardial in£arction _
Signed
B. C. Brink, DO Princeton, Ind.
phyeician or coroner addreaa
Plucc of Uurial or removll M�mprial Park V'
�rPnneS�Tnd.
name of cemetery addresa
Date of buris�i 10/4/79 Kendall Princeton, Ind.
� . Funeral Dimtor • addmse � � -
SEAL
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(/(/ �c�%�C (r. �i%")Ct /F?,�
W�� � _
Cibaon County Hcalth Commieaioner'
Oakland City, Ind. 10/12/79
��� date
Recorded Iceally in book No. 9 Page No 9� ���; 10�12/79
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