Death Certificate - Mason, Charles E_6/26/1985!RECORD OF DEATH • •
GIBSON COUNTY DEP�1RThiENT OF HEALTH
� PRINCETON,INDIANA - �
TH]S IS TO CERTYFY, that our records show CHARLES E. h1ASON died
6/�3/85 ' at 5:25AM RR#3 Princeton, Ind.
-month day . year hoar of death street, hospital, rural •
�ge at Death "60 SeX Male �olor`' �iteMarital.Statuc Married
years ' � write whether married or aingle
Prima�ti• cause of death given was_ Hepatic encephalopathy
Signed by s�uce C. Srink, Sr. Princeton, Ind.
phpsician or caroner address
Place of burial or removal �Yhi'te Churcn Princet�n; Ind. '' ' ' —
� � nnme of cemetery ' address � �
Date of burial 6/7/85 Kendall Princeton Ind.
� F�neral Direcior sddress .
�J��-�, �°-�,�,t�
SEAL " Sign
� ° . Gibson County Health mmissioner
- Oakland City, Ind. 6/10/85
`' address dete
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1 ;
Recorded locally in book No. 1 � page No. 1 a 7 Fil�: 6/ 10 / R S •
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