Death Certificate - Daniel, Jasper_4/26/1994RECOI{D OF UEA'PII
G113SON COUN'I'Y DBPAR'1'Ml:N'I' O1� IiGAI:I'FI
' PItIN1;l': PON. INI)IANA
'I'FIIS IS'I'O CI;R'I'IFY, thi�t our records show JASPER DANIEL dicd
February 17, 19��4 11:30 P.M. Residence Route ll 1 Box 203-A Princeton, IN
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Akr. :d Denlh �5 $�x Male (;i�l��r White M:irilal S�nlus MaCCied
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Primary cuuse of death Kiven we�s Cerbro Vascular Accident, Sudden.
� Diabetes Mellitus, Type I Old Amupatation Leg
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Si�;ned by William R. Welis, rLD. 510 N. Main St. Princeton, IN
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Pliice of burial or removal I.0.0. F, Princeton, IN
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D:dr. of huriz�l Fehtuaty_22,—L99_4 Kendall_Euueral_llome Prince.tnn,—IN
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Recorded luctilly in book No 12
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Gi6non Couniv Ilenllh C nmisviuncr
_Qakla.n�l�itY• IN February� 1994
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N�� 86 �,11e�{. February 22, 1994