Death Certificate - Nelson, Earl R_8/19/1991RECOKll OF llEATII �
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GIBSON COUNTY DEPAR7'n9ENT OF HEALTE{
PRWCETON, INDIAVA
THIS IS TO CERTIFY, that our rewrds show EARL R. NELSON died
May 27, 19h5 at 5:45 P.PS 419 S Hart St Pr'n on Tndiana 1
month day year hour o( death street, hospital, rurel
Age at Ueath 76 Sex Male Color White Marital Status Married
years write whether married or single
Primary cause of death given was— Arteriosclerotic Heart Disease, 1 vear
Signedby James F. Peck. M.D. Princeton Indiana
physician or coroner address
Place of burial or removal Monteomerv Oakland Citv Indiana
name of cemeteq� address
Date of burial Mav 30, 1965 Colvin and Son Princeton Indiana
Funeral Director address
SEAL
. i y/ � �f"
Signed :;'t.+L`t',`p`'riF ra'4,�
Cibson County Health Com sioner
Oakland City, Indiana Aueust 16 1991
eddress aate
Recorded locally in book No. 7 Page No. 110 Filed: June 7. 1965
..... - s � i ' PrII'