Death Certificate - Keith, Charles H_7/26/1979I, ./� \ ~ .. .
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' ItECUItD �JF liE�:TH
GIBSON COUNTY DEPARTDiE\'T OF HEALTH .
PRINCETON, INDIANA .
1'Ii1S IS TO CERTIFY, thAt our records show CHARI.ES H. KEITN died
� 7/3�79 i1:35Pj�j • Gib. Gen. Hos . �
at p_ Princeton, Ind.
' mrnth day year hour ot death � xtmct, haapitnl, rural �
� A�;e al Denth 71 Sex M' Color ���h' binritnl Stntus �4lrried i
' ycare writa whethcr m:vricd or einglc � �
� I'rimnry csuse of death given was Carcynoma of pancreas with generalized
e�ta s ta s� s—
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Si�nctii by �,;�,�-��}�.���� Yrinceton, Ind.
, pRys�cmn or curoner address '
Place of burial or removal Decker RR P�to't_a, Ind. '
name' of cemetery address
Datc of buri� ��6/79 Colvin Princeton, Ind. �
Ftineral Din;ecor nddreca '
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(;(;G.��y?�G. �J? <'�� i
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SE:�L
Gibson County Aealth Commieeioner
Oakland City, Ind., i/9/79
addresa
date •
I:ecoidea locaily in book No. 9 page No. 85 �lea: 7/9/79 ` �