Death Certificate - Hyneman, John Urveal_10/4/1974; RECORD;OF DEATH •
. GIL'30N COUNTY' DEPARTnIE\T OF HEALTH"'
. PRr;CETOV, NDIAR�
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THIS IS TO CERTIFY', that our i•ecords slio�� U���L HYnEMA�I . ��1e�j
Aug. 2$, 1965
month dac yeaz
5�16PM 229 N Brown.�, Prinoeton, Ind.''
hour oF death ' � street, hospital,.niral �
Age at Deatli 74 Se��al P� Coloi• whi tg__�,Iai•ital Status M�rrie�
years . . � � n-rite �vhether married �or single
Primary� cause of death given wae F?er�tin Coma a Fai�nra
Signedby �• C. Brink. DO Prinne*A��__�„�T
phcsician or coroner address �
Place of burial or remo��a�_ - xiahlsnd Memorial Pit. Carmel, Ill.
� name-of cemetery address
Dateofburial—�?L29/65 Cnlv�., z.c,,,, n_.___�__ �. '
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SEAL
Funenl Direcfor
Sle lC(� ����'��Q'F�
Gibson County Healih Commissiwier
_ Princeton, Ind. 10/4/74
address . date
Recorded locall}• in book No.—� Page No.�..12__Filed: o���(c
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