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Death Certificate - Dill, Clarence R_9/14/1978
I � � . � � � Rf:l'Ultll Ol' Ilh;\9'll � • QlIiSON WUN'1'T lll�:l'.Ut'1'A11:N'1' Oh' 11L:ALT11 1'RINC�'PON, 1NDIANA TFIIS IS TO CERTIFY, that our records ahow CLARENCE R. DII�L di� Q/�/1978 ar 3:'iOPh] Gib. Gen.Hosp. Princeton, Ind. month day yenr bour of death etreet, hoepital, rural Age at Death 66 S„x Male ��or Whiteni81{� 3tatuA Married yean write wheNer married or eingle Primnry cnuae ot denth given wae Acute myocardial infarction + Signed by n_ r.. Rrink�n.�. Princeton. Ind. phyefcian or coroner eddreae � Place of burial or removn� White Church Princeton, Ind. mme of ttmetery addresa Date of burieL 9,[8/78 Colvin F.H. Princeton, Ind. Ftiumr.► Dt,eccor eaareae SEAL . Gt�G��t�°�� � �v � , Gl�son County Heelth teaioner ' Oakland City, Ind. 9/11/78 add:eae aste Recorded locally tn book No 9 pa�e r10- 69 Fvt�; 9/il/78 1) ' � . �� ..�.�. .141:• ':)V. . _1 ' . � .. • . .. .. � . _a• .� � • •l`: -- ._.p... � v.. - � �• �r s. . . cc_+Cc � ... • � a • - . , . . . � � Zs r., .. � .. . . - , ' . ' . �. . ' ... . . . . . � .. • , . . � . . . . . �.1 ��y � . ... .. . . . : Y: . � • . �. .� r � . . . �. � �t�l: -t ���.m N.�n Tn,�+�R�..r.�.-t-....-....... ..r._._ -n- 4'r�_� •l'.a�.:'_ : d. �Y.'e� �"f" �i'v � .. TT�4 Yi . i{1. . J .<.�. ... . . � . . .. . ' . .>�S`. . Y. � . . . . . . . . � t � ��' � • . ' ✓ � ' . ..... . ..t��. ' . . . .� . �.1�•:' . . � .. , . . . . ... , .. .. j. . � r . . . , . 1' P � � . ., . . ^ . � �.I�._ . . .. . . _ . . . _. . .�. _...�