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Death Certificate - Hale, Arvil W_7/30/1974
f.. . .. .'.; . _ . . . . . _ 4Z.�F� " •- RECORD OF DEATH • _ s . , _ � .,' ' I GIBSON COUATTY" DEPART\fE\rT OF HL'�LTH ' � ' � 1 . .. . - - PR[NCETON, ITDI.�1N,�1 : � ' . _ , . r ' . I • ( ARVIL W. HALE 'I'HIS IS T0 CERTIFY, that `our records sho«• " ��" died 7/21/1974 - at 6�3o Px Gib. Gen. Hoap.,- Princeton. Indiana. . ',' , . � �� month . day year hour of death � street, hospital, rural " • 6? • Male White MarrieQ'' ` �,'., ' Age at Death Sex Color \Iarital Status '�' years � write whethet manied or single Primary cause of death given was MyocaTdi�l 1nfaTCtion (16 his. ). -. � William R. iiells, NID Princeton, Indiana Signed by _ ' � ' - ' physiciart•or•coroner � T address - � Place of burial or remoeal`°°'I.O.O.F-.--- --- — - - � NT9nC1"soo� `Indlat76�'� _: ,' � -'-. - , � name of ..cemetery , address =� ' '.:: ' � Date of buriat 7�24/1974 Colvin & Son Princeton� Iridiatie� -_ � F�neral Director address . � � � ( , ., . ' . ' " . . . '„ _ . „ � - . . . . . .: +` � . � � . - . . - ' . � '• , . � _ ' . - '., � - . . ,'�' , SEAL ; : Signed - , . ,. . . -� _-, � , . Gibson County Health Commissioner - �. ' ��. .�, Princeton,.Indiana �.7/30/197a �. _ .. . � _ -�� ' � � address - .' � date _ . - '.� 1 t , . . . . .. . Recorded lceally in book No. a page No. 101 Filed: 7�24� 1974 _ .. - ,, . . . � . , . -{ , _ .,- _ . :.. . . • . . �' .