Death Certificate - Dyer, Cyrus L_5/1/1975, � � .. .�i• ii. • , r . . . . . . -l: ♦ . . � �
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RECORD OF DEATH
. GISSON COUATTY DEPARTM�NT OF HEALTH
. PRINCETON, IVDI::�V?�1
THIS IS TO CERTIFY, that oui• records slio��� �1'RUS L.
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Mar. 1�, 1953 ar 10�30PM RR Princeton, Znd.
month day yeaz hour ef death street, hospital, nrral
Age at Death 61 Sex�`'�31e Coloi• Wh1ta _➢Iarital Status Ma�rie�
- years write whether married or single
Primary cause of death given was Cornnary occlvai�n
Sig7ied Uy R., S. M�H1��,Y . M D �'-x}s-atot�-, I-n� .
physician or coroner address
Place of burial or removal Maple HS11 Frinceton, Ind.
name of cemeterv address �
Date of burial-3L20/53 Colvin & Son Princeton, Ind.
F1�neral Director address
� SEAL
V/ .
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Signed 'Q'L ��
Gibson County Health Commissioner
Princeton; Ind. 4/28/�5
address _ date
Recorded locally in book A`o. H—�=7 Pagc \TO. $4 Filed: 3/25/53
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