Death Certificate - Loyd, Earl Jr_4/28/1997GIBSON C�JNTY DEPARTMENT OF �TH
800 S. Prince St.
Princeton, Indiana 47670
- 812-385-3831 �
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RECORD OF DEATH . '
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THIS IS TO CERTIFY ' y
that accordiag to the records of the Gibson County Department of Health,
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EARI. LOYD, JR. =
Died on 02/12/1996 at 5:'OO AM�. . .+
Forest Del Convalescent Center
• 1020 vine Street ,
Princeton�IN 47670
Age at death . 66 Years - Sex: M
Marital Status: Married. „_ _,Color: White '
Cause of death:. .Acute Myocardial Infarction "
Severe Coronary Artery Disease
Generalized Atherosclerosis �
Carcinoma of Lung, COPD, Cardiomyopathy.
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Signed by: Paul V. Banning, M.D. E
'4elborn Clinic `
Princeton IN 47670 '
Place of burial Columbia White Church Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Princeton IN 47670
02/14/1996
Kendall Funeral Home
520 S. Main St.
Princeton IN 47670
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Signed by �������'�''�
Gibson County Heal Commissioner
Recorded locally in Book No. 13
Oakland City, Indiana 02/13/96
Address Date
Page No. 3 Filed: 02/13/1996
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