Death Certificate - Newberry, Walter_3/26/1982RECORD OF DEATH
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GIBSON COUNTY DEPARTTiENT OF HEAL'i'H
- PRINCETON, INDIANA
:ialter C. I•fewberry
THIS IS TO CER1'IFY, that our records show died
y,,;o. 6 1979 7��.!�'�� Gibson General s?ospital Princeton, Ind.
at
moath day year hour of death stxeet, hospy�tal, ruial
g1 ::iale i':'hite :�iarried
Age at Death Sex Color Marital Status
' years . write whether married or single
Primary cau, e qf d�a�h gi -vp,g
[:�,assive myocardial ?n,arction due to
40!'�@bb_•l�, a _ _
P,. �. ��ieit2el, ^?. �. Prir.ceton, Znd.
Signed by
physician or coroner address
i�larnock �.. Princeton, ?ndiana
Place of burial or remova�
� name of cemetery addresc
8-8-79 Co]_vin Princeton, Indiana
Date of buriat
SEAL
Funeral Director address
s
L�G¢��v�nt� <'�.� .
5���
. � Gibson County Health Commissioner --
• Oakland City, Indiana 8-10-79
' - addzess aau
9 87 8-9-79 •
Recorded locally in book No. page No �led:
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