Death Certificate - McCarty, Charles L_12/31/1975� �
RECORD OF DEATH �
•
GIBSON COUNTY DEPART\iENT OF HEALTH
PRINCETON, INDIANA
1'fiIS IS TO CERTIFY, that our records show CiiAALES L. ?•iCCARTY died
riay 28, 19�3 at 6�15XI•1 RR 1 Ft. Rr ,anr.h_ TnA.
month day Sear houz of death street, hospital, zural
Age at Death 91 SQY ;�ale Colorwhite �4arital St�
yeazs
Prunary cause of death given was Con1r. heart failure
Signed by A• G. Geick. M.D. Ft Branch;LInd
physician or coroner address
Married
write whether married or aingle
Place of burial or removat Blvthe Chapel ??R 2 Owensville, Ind.
name of cemetery address
Date of burial 5/3�/73 �Sb Funeral Home Ft. Branch, Ind.
Fwneral Director addrnss
SEAL
��'Y�'%".2(�'. """G�<�,D
Signed i
Gibson County Health Com ioner
Oakland City, Ind. 12/31/75 "
address
Recorded locally in book No. x'S1 page No. 4�iled: 5/3�/73
date