Death Certificate - Edmonds, Walter E_7/9/1979�RECORD OF DEATH � �
GIBSON COUNTY DEPART�fENT OF HEALTH
PRiNCETON, INDIANA
THIS IS TO CERTIFY, that our records show 6'JALTER E. EDI:'ONDS died
JUriE 28,1961 at 11:15P;5 Gibson General Hospital.Princeton,Tnd.
month day year hovr of death etreet, hospital, rural
Age at Death 57 Sex male Color White nqarital Statu� married
years write whether roarried ox aingle
Primary cause of death given 3v�.a �Physema with asthma
SiRned by H.F. Carpentier D1.D. Princeton. Ind
phyaician or coroner addrcss
Place of burial or remova�•O.F. Cemetery Francisco, Ind.
name of cemetery nddrcss � .
Date of burial �-1-61 Colvin & Son Princeton. Ind.
Fimeral Director addrese
SEAL
O
Sign
Lv ���� � " � �.�
Gibson County Health mieaioner
Oakland City, Ind. 7-9-79
naan� aa�
7 ' 41 7-1-61
Recorded locally in book No page No- �led:
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