Death Certificate - Eaton, Alvin Roscoe_10/17/1996�1a.+1r
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GIBSON CC�NTY DEPARTMENT Ca HEALTH
800 S. Prince St.
Princeton, Indiana 47670
� ` 812,'-385-3831
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• , RECQRD OFFDEATH
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THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
ALVIN ROSCO$ EATON
Died on 10/08/1996 at 8:30 AM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 61 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Cardiac Arrest, minutes. S/P Repair Ventricular
Septal Defect years ago. HTN
Anoxic Encephalopathy
Signed by: Rameshbhai P. Patel, MD
105 N. 2nd Ave.
Princeton IN 47670
Place of burial Holy Cross
or removal:
Date of burial:
Funeral home:
S E A L
Ft. Branch IN 47648
10/10/1996
Holders Funeral Home
P.O. Box 518
Owensville IN 47665
Signed by y��"r/'��"' �jI ���
Gibson County Health ommissioner
Oakland City, Indiana 10/15/96
Address Date
Recorded locally in Book No. 13 Page No. 22 Filed: 10/15/1996