Death Certificate - Newman, Porter Raymond_4/29/1974RECORD OF DEATH � �
GIBSON COUA'TY DEP_4RT\IENT OF HEALTH
PRI\CETO\, IVDI�INA .
THIS IS TO CERTIFY, that our records sho�v PORTER AAYMOND NEWMAN died
6/7/72 at 1 PM 4f19 S- Fil l rrag} Ft � Rranrh � T�ri ,
month day year � �hour of death � ' ". street, hospital, rural. � ..
Age at Death $6 SeY Taal P' Color?�.yt��g Marital Status Married
years � . ' ,. _ � write.«•hether married or single
Primaiy caase of death given �vas *'a-ss' ae—Y3etee��^Ytage�t�' �en��,
Signed by David Lintlai�ar� NtTI pr����yt.o„_.��'i�
�� �--- _ . � � ��ph}•sician or coroner � - '- � � a dd mss ~ - � � � — -
Place of burial or removal Liberty Cynthiana, Tn�i.
� � -name of cemetery - � - address � - � � ��
Date of burial 6/9/72 Laib FvnPral A�mP Ft Rranch, Ind
F�neral � Director - � � address � -
�`SEAL •
' �-
!�(.0 � ��Y
Gibson County Health Commissioner
' ,Princeton, Ind. 4/29/�4
address - date
J ' . •
Recorded locally��in book No. A-51 Page I�TO.-2�Filed:_— �i/�11�7g
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