Death Certificate - Dye, Jesse M_10/27/1976RECORD OF DEATH
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GIBSON COUNTY DEPART.�IENT OF HEALTH
PRINCETON, INDIANA
THIS IS TO CERTIFY, that our records show JESSE M. DYE
9/29/69 at 7s15PM Gib. Gen. Hosp/ Princeton, Ind.
month day year hour of death street, hospital, rural
Age at Death 7 3 Sex 1'� • Color �'� �Iarital Statuc Ma rr i ed
years write whether married or single
Primary cause of death given was �onc hga�� f� ��t�re
Signed by �•„s���n��_� Oakland Citv. Ind.
physician or coroner � address
Place of burial or
Date of
SEAL
noval Provldence
name of cemetery
10/2/69 Colvin & Son
Ftrneral Dimctor
Fr3ncisco, Ind.
address
Princeton, Ind.
address
Signe ` " ��C Cr. � < �.�
Gibson County Health Com ' ioner
Oaklan�7 City, Ind. 10/27/76
address date
Recorded locally in book No. ! page No.— 2�iled: 9/30/69