Death Certificate - Moore, Donald L_10/15/1980,
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i RECOHD OF DEATH
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GIBSON COUNTY DEpART�fENT OF HEALTH
1'RINCF."fON, 1NDIANA
THIS IS TO CERTIFY, that our records show DONALD LESTER MOORE died
__9/20 &0 at Z:15AM Gib. Gen.Hosp. Princeton, Ind.
month duy yenr hour of death atrect, hoepital, rurml
Age at Death 71 cex M• Color Wh' Mnrital Statua Married
Ye� write whether married or single
Primary cnuse of denth given was Hodgkins di5ease
Siqned I�y. R. E. N1eit:zel, p1.D. Princeton,Ind.
� phyaicinn or coroner nddrnsa �
Fl:�ce of burial or removal � White ChurCh PrinCeton, Ind.
� nnme of cemetery addrese .
Dsste of burial 9/22/80 K ndal l Pri n�eton
FLneral D�rector addresa �
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G�baon Cou ty Health Commi�s 'er
Oakland City, Ind. 9/29�50
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Reconled locnlly in book No. 10 Page No.__ 21 ��ed: 9/z3/8o
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