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Death Certificate - Dougan, James P_2/6/1978
. ! � � L.A! . . ) . . _ . . � \ 5'Y LL V j'y l.'�'l{ }.� . �� rt� • � . � - � .t'(� �.l'+�CS� l .PC'r� t• �.. �. . . . . .. ' .,. �. , ° 4. �i • , � :� .�, . •: a, . � �. - -- - -- �--- • — — - - . ----- - —�— ---- �� '-._aa--� - .� -- �__:�_ — ' �. RECORD OF DEATH � ' ' • � �;,`` " = ••` • " ' ' GIBSON COUNTY DEPARTn4ENT OF HEAliTH ` � 5, . PRINCETON, INDIANA � . - � . . ;:.- . - . - . . . :�:�= .. `' JAMES P. DOUGAN � �� '!' ' 1'HIS ISyTO CERTIFY, that.our records show . 1�25�78 at1:30P1p Gibson General Hospital, Princeton, Inda � month day year . hour of death street, ho;pital, ruial : � �. �� - -�•Age•at Death 65 Se� e Color ''�hite�Zarital Status married _s;_.�.. � pears - vrrite whether married or.aingle 4, . Primary cause of death given was ACUte Encephalitis • �' Signed byR.E.Weitzel M.D. P.rinceton, Ind.• physician or coroner address ', . Place of burial or removal i' 0.0. F. P'= inceton, Ind. .' � . � name of cemetery address � . . Y.� Date of buriat��30/78 C61vin Funeral Home,Inc. Princeton, Ind. . �".;,, ! FS�neral Director address � . . .-rs , //� � . �'.-� . . .- �/ V / / y '� . �.�' . . . //f/��f:i.�/� 'L��i/��±C� �I� . � ,. t . � T % ""L � .c. _ . ' SEAL Signed (/ . . „ , Gibson County Health Commisaioner � • Oakland City, Ind. 2/2/78 . � � address date • Recorded locally in book No. 9 page No.�iled: 1�3��78 -- .--:--- °1:- . - t'; _ . .