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Death Certificate - Hawkins, Richard_12/11/1967' RECORD .OF DEATH - ,. � ' �� . . - ' . ' GIBSO\? COUN'I'P. DEPt1RTliENT OF. HEALTH - . . � � . . . � - - . PRIA'CETON, INDIANA . _ �' � . �- �., , � � - - . - - . . - . . . _.1'. .� _ . . . � . . �THIS IS TO CERTIF'I, that our records shod• � AICHARD' FIAWKINS � • �� December -.. 4: � 1967 ,at1:42p.m.;Gibson Gen-. Hosp. Princeton - - _ � � � - �month . ' da��. _. � �,- _ -.1'ear . . . � - hour of death � - � � . � _ � street, �hospital,- rural _ 86 ' Male.. - � ' White- � Married •�-- Age at,Death Se� Color ' � , . . - � }ears - . - ,' � ' �. . ,' � � - - � ��-rite �rhether. �martied � or smgle�` �" - � ` . .Cerebral Hemorrhage . - ' ' Primary cause of death-gicen.�ea _. _ _ �Signed by R F;wP{'tzEI,- M D Princeton, I„diana • - ;_ � � . _ . : ph�•sician or_ coroner' � • � � _ � � � address . - : . - _ - ' �` ' Maple:Hill.Cemetery� Princeton;-Indiana . ' Place of biirial or removal '' .� . � _ - ' . � name of �cemeten � — . ' � � .. � - _ - address . � .. . ' � _ _ - , . Date of burial 12-7-67. .�.. Kendall Funeral Home Princeton; �Ii�diana _ ' . . -. ' '� -- .Funeral-Director. '. . .. � _ d s � . - . ' -� _ . . .. - . .�' ' . '..-„^ ��. � . .__ . SEAL : � , �,y//!Y� . '. Filed' I2-']-fi7 -. Siened' . � - . • - ' - Gibson County Health��Commissione� . . . � �Princeton,_ Indiana- .: 12=11-6% ., - , . .. . . .. . . ., . . _. _ _ • - � _ - -. _ ..- . �. ..-��. � . ��...�addmss� � �." , �.:�� . Date . ' Recorded'locally in book Aro. � ' ? Page No. .'192 . , . ,. -.