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Death Certificate - Hamilton, Rollie_9/4/1969RECORD OF..DEATEi �: , : �` GIBSON COUN'I'Y DEPART➢4ENT OF HEALTII � � � � � � � � • PRINCETON, INDIANA - -� �� - - . � THIS IS.TO CERTIFY, that oui records show ROLLIE FiAMILTON_ . ' died November __ 21 196� a SOs05AM•Died.,enrouth to Gib. Gen. Hosp - month - day � year�' hour ot aeaeh.Prince �on,s }�ospital, rural . Age at Death �7 _ Sex - Mal�_�lor whitr+ � � Marr1 ed `. - .' � � y-��- . � � . � . , - . - � write �tchether married or single � . ' Pcimary cause of death given was ACUte MYOCardial Infarction _ .. �,Signed by �11111am E. DYe:, IyID = Oakland Citq, Ind. . _' ' - � ' � � .ph}�sician or coron'er � ' . . .. .. _.. � -address - , -'- - - : . ' Place of burial;or removal Hornville Lutheran CemeterV Hornville, Snd. - name of cemetery- � • address . � , t '. Date of buria � il .24 6 b unera o e kland Cit Ina: " . . . F�neral Director � -,' • � � � ' /�d ss` � ; : ,; . � . . . � � i'� - �!/ i.. � �lj`p� -SEAL'` it� .. Signe - -�- � _ �:'L.` � - � -: �- �� . , � Gibson Qounty,Health Commissioner � ' - � �.�� t,,-,, < . � 9/ / 9 =t. ' �-:� . Princeton,�•Ind. 4 6 =- , %� . .� :,. r , . - � ,address , � Date �t Recorded.locally m boo`k No. �" 7, " page I�TO. 190 Filed: tll/27/67. G'!'� -,. ,�.��=� , . ': .^: : _ ^ ' .:,' _ . '.p.i� .,f. - . . . . � . ,.