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Death Certificate - Donelson, Clyde L_4/13/1987RECORD OF DEATH � � � GIBSON COUNTY DEPART�IE\'T OF HEALTH PRIVCETON, I\DIA\A THIS IS TO CERTIFY, that our records show CLYDE L. DONELSON died Feb. 10, 1976 e� 12:45 A.M. Gibson General Hospital Princeton, In. month day year hour ot death street, hospital, rural Age at Death � 6 Sex Male ColorSVhite tiqarital Status Married years write whether married or single Primary cause of death given was Myocardial Infarction ( 1 Hr. ) Hemmorrhaqe from duodenal ulcer. Signedby James F. Peck, M.D. Princeton, In. physician or coroner eddress Placeofburialorremoval �ite Church Princeton, In. name o( cemetery address Dateofburial February 12, 1976 Colvin and Son Princeton, In. Funeral Dvector address SEAL Signed "�l��i��96��.ti Gibson Countv Heal[h C issioner Oakland City, In. April 13, 1987 aaa�ess deu Recorded locally in book No. 9 Page \oZ 1 Filed: February 13 , 1976