Death Certificate - Douglas, Floyd_6/23/1981RECORD OP DEATH !
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GIBSON COUNTY DEPARTTIEATT OF HEALTH
PRINCETON, INDIANA
THIS IS TO CERTIFY, that our records show� FLOYD DOUGLAS died
2/ 11/ 71 at 10:05 AM Gibson General Hosp., Prir.ceton, IN
month day yeaz hour of death strnet,� hospital, rural
Age at Death67 Sex Male ��or49hite Marital Status Married
yeara . write a•hether manied or single
Primary cause of death given was Uremia
Signed by David Lindauer,NID
physician or coroner
Place of burial or removal Owensville
G/�3/7� name of cemeten�
Date of burial Kendall Funeral Home
�neral Director
SEAL - �
_ `
�
Princeton, IN
address
_ Ower.sville, IN
address
Prir.ceton, IN
address
e
Signed —" �� G-• � �1%
Gibson County Healt}� Commis� er
Oakland Ci-�y, IN Jur.e 15, 1981
address date
Recorded locally in book iQo. 8 Page No. z� Filed: 2��5�7�-