Death Certificate - Hood, Thepodore R_9/10/1975RECORD OF DE:1TH � �
GI�SON COli\Tl D�P�P,T\IP\T OF Hr�1L7'H
1�r1vCr1'o��, i�n�:�r�t
THIS IS TO CERTIFY; tlta't our racord, ,ho�c.___�9��F_' R, ur�nn _ �,
N!ar. 9� 19�::t __p�n Fa et � • nee�en, T-rr�t--
month day year hour of death ;treee, hospital, niis
Age at Death F5 Ses !''�le Color �T°aro �l'Iarital Status 1�Rrrled
years � �erite «�hecher married or si �:
Primarp cau;e of death given was "'vocaTdial irf�trction
Si�necl by—DavSri t S�. laugr: N.-L1.-_ __ --�2'-i_-flse';t3rti, r_n�,
�' � liysician or cormier - � adcire�s —
Place of btti•iai o�• i•emo •al_ Sand �111 ?r1�+aeton_,..__Iri.
name of cemeter�� address
Date of bm-ial_�213 � Kendall Fi_?1era1 Home Frinceton�_Tnd.
Funeral Directm• address
S�'' �L
� /'� _ /:� �'/j
!`?,.`e %�i'��r�'d � !;� r /�iE'�
y.- (i �(�C,�L ��,
Gibson County Health Commissioncr
Princetor„ I�cL, 4�17/�K
address date
Recoi•decl locall}� in book \�o. �'? _Pei�„e No._ 7�_Filed:__'��"/_7 s