Death Certificate - Kendle, Charles W_4/19/1977:j: ;
RECORD OF DEaTH �'!�
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GIBSON COUNTY DEPARTilIENT OF HEALTH
PRINCETON, INDI:INA .
THIS IS TO CF.RTIFl, that our recoi•ds sliow C;-fAnS,r,S i'i. Kr,IvDL�; died
\'�� 3�10�77 at 11:551=�y! Gib. Gen.;iosp. ?'rinceton,
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�,�,`,'�, �'�_ month day � year hour of death street,�hospital, rural�
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'`"r'. Age at Death 9� Se� T��� Color—'iIlL•_DlnritalStatus n9a1-riari
. � . years n-rite whether married or single
, Primary cause of deatli gi�•en �r•ns '=F,teriosclerotic heart disease
Signed by J. �. Pec�, I�'!D ' Princeton. Ind. '
_ . � ' _ pht'sician or roroner _ addrn,ss _ _ , "
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Place of burial or removal • '.Ihite Church Pr.inceton. Ind.
'"'`���. � � name of cemeterv address ..
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Date of burial 3�12�77 i.olvin �; Son Princeton, Ind.
' . � , Puneral Director address-
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Signe !iI/ !/ �C Cr. ��"I c �,�'
Gibson County Health Com ' oner
Oalcland City, �nd. 4/19/77
address date
, Recorded locally in book tio. � Page No.— 3� Filed
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3/18/77
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