Death Certificate - Newcome, James A_10/19/1971.� �RECORD OF DE�1TH • ' ,
GIBSON COU\TTY' DEPART\4ENT OF HEALTH
PRIA'CETOr,INDIaNA
1`HIS IS TO CERTIFY, that our records show JAMES A. NEWCOME died
_ June 14 1971 at�i30AiL R� 3_Oxenav�lle. Ind. ,
month day a�ear - hour-of death street, hospitat, rural
Age at Death 65 Ses__�iale Color 1�hi�e Married
• • years "� , ��•rite ��-hether married or eingle
Primary cause of death gicen was MyoCaTdlal In1'arctlon
Signed by Glenn 0. Dic�Ceri�on,�0 • Owenssille.,_Znd. - '
physician� or comner . address ,
Place of burial or removal QI�eYisVille OcPensslll��In�
name of ceretery- � address
Date of
Flmeral Director
SEAL .
. + ' �
�,
_ �
��
Recorded locall�• in book'ho.—H-51_—Page N
�
�. � -
�
16
_�
�'�
Health Commissioner
Princeton�_Ind. iQ/1�/al_
address Date
: 6/1�1
