HomeMy WebLinkAboutDeath Certificate - Ganstine, Benjamin T_7/11/1966L�CaL
RECORD OF DEATH
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CITI DEPARTDIENT OF H�ALTH
PRINCETON, INDIANA �
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THIS IS TO CERTIFl, that our records shoK• Bti'.�IJAMIP? T. GANSTINE died
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�tember 22, 19.
month dac year
Age at Death 7b Sex Tiale Color.
years
m Somerville, Indiana
hour of death - street, hospital, rural
White - Piarried
� ' ��-rite w•hether mamed or single
Primary cause of death given �eas P9elonephritis
—Signed_by- Harold R. Chap�ell, I�.D.__, . Oakland City, Indiana _
, � , phpsician or coroner. . � address -
Place of buria}-or removal Springhill Cemetery Shoals, Indiana
� name.of cemeten• . address �
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: .. _ _ . . ,., ia,� /�. _ _ . ' _ . _' _ _ " �
' � � � Funeral Director
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�- S�:�L � - F;�led: 9/28/56
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Recorded locally in.book \o. � Page N
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Signed nc, �Gy�'U�� 1 y������_/�•Sec�•.
Princeton. Indiana 6/21 66
aadress , - date
69 .