Death Certificate - Gaston, Maurice L_5/10/1990G S B S O N
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COUN'C'Y D:EPA12TM1JNT
800 S. Prince St.
Princeton, Lidiana 47670
812-385-3831
RECOIZD OF IJLAlH
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H L A L T H
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THIS IS TO CCRTiFY
that according to tiie records of the Gibson County De{�rtment of Health,
MAURICE L. GAS'PON
Died on 04/26/1990 at 6:00 P.M.
Forest Uel \'ursing Home
1020 Vine St.
Princeton IN 47670
Age at death: B1 Sex: M Color: k'liite Marital Status: Married
Cause of death: Cerebral Anoxia, Cardio Respiratory Arrest,
Advanced Parkinson's Disease, Pneumonia
Signed by: Bruce C. Brink,Jr.,UO
410 N.Main
Princeton IN 47670
Place of burial Union Commmunity Church
or removal:
Union IN
Date of burial: 04/29/1990
Funeral home:
S E A L
Colvin Funeral Hoine, Inc.
425 N. Main St.
Princeton IN 47670
Signed by --�J�I.Cd.K,r'x7.���2�-�/�s�Z%------
Gigs�bii �C6unty f ealt} ommissioner
O��kland Cit>>, lndiana OS/04/90
Address Date
Recorded locally in Hook No. ll Page No. 115 Filed: 05/04/1990
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