Death Certificate - Muncy, Oliver H_3/15/1984Itb]i;IHZD OF DEATH �
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G7BSON COUNTY DI:PAPTMENT OF H�ALTH
PRINCE;TOA`, INllIANA
19115 fS TO CERTIFY, that our recorde show OLIVER H. MUNCY
_l./26/1989 at 11:SSPM Gibson General Hospital Princeton, Ind.
month dny year hour ot death street, hospital, rural "
A,*e at I�eath �0 SeX Male Color�''�hite Marital Status Married
Y�� � write whether married oz single
Coronary Thrombosis '
Yrimary c:iuse of death given was— __
Si�med by. __ .__. Robert E. Stodghill, Coroner Ft. Branch, Ind. _
physician or coroner address � �� �� �� ' � � � ' ` � �
i'i.ice of bin•ial or r�moval— Mt. Olive Mt. Olympus, Ind. -
- . . �. �name tof! cemetery . . . . - . � addrnss �. _ . - ` R` _..,-.. .
.e . � �; . � � t
1/29/84 Kendall Princeton, Ind. , �
14uc nf huri:il------- ------ -- -
. F�neral Dire�[or address
�fl��a�ni ��,�� �..
sh:,a►. - s�gnea_
� ribson County Health Commissioner
Oakland City, Ind. 2/2/84
address
I:ecorclec! lucally in boo}cNo. 10 page No. 111 Filed: ����'84
date