Death Certificate - Hayes, Perry E_7/28/2005GIB� COUNTY DEPARTMENT� HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CSRTIPY
that according to the records of the Gibsoa County Depaztment of Health,
PBRRY B. HAYBS
Died on 04/30/1996 at 9:00 AM
R25 idflI1C2
R.R.# 2 Box 98
Ft. BrdnCh IN
Age at death . 70 Years Sex: M
Marital Status: I�arried Color: white
Cause of death: M.yocardial Infarction
Manner of death: I:atural
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JUL 2 8 2005
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GIBSON COUNTY AUDITOF
Signed by: Robert S. Stodghill, Coroner of Gib. Co.
304 W. Locust
Ft. Branch IN 9764E
Place of burial Columbia White Church Cemetery
or removal:
FTinCetOn IN 47670
Date of burial: OS/03/1996
Funeral hone:
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Stodghill FUneral Home, INC
304 W. LOCUSt Street
rt. Branch IN 47646
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Signed by
Gibson County Health Commissioner
Princeton, Indiana 07/28/OS
Address Date
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Recorded locally in Book No. 13 Page No. 11 Filed: OS/13/1996