Death Certificate - Hoefling, Charles E_4/25/1979:,
� ' Itx.CURD OF Dh:ATH
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�, ' GIBSON COUNTY D�PARTDILNT OF HEALTH
�� � PRINCETON,INDIANA
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T1IIS ]S TO CERTIFY, that our recorda show CHAHLES E. HOEFLING
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4/15�79 at 1�36Pm Gib. Gen.Hosp. Princeton, Ind. '
month day year houz ot dcath etrect, hoapital, ryral� '
Age at Denth 5i '�Sen M' Color wh' Marital Status `�' —
yeare arite whether married or single �
Primnry cause of denth given was Cardiac arrhythmias . �I
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Signed by Richard L. Gries, M.D. Haubstadt. Ind. �
phyaician ox coroner address F.
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Place of burial or removal Sts. Pete2' & Paul Haubstadt, Ind. _ ;
name ot cemetery ' addresn ' � !
Dnte of burial 4�18/79 Wade Haubstadt, Ind.
Flmeral Dlrector . uddrese
SEAL
Gt� G¢�i�n � ��� ,�
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Cibson l;ounty Health Comny'ssinner
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Oakland City, Ind. '4/2?%?9
nddress
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f ft�:�rded locally in book No 9 page No_ 82 F;i�: 4/23/Z9 _
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