Death Certificate - Newton, Nova C_5/16/1978RECORD OF DE�1TH � "` � �
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GIBSOIr' COUNTY DEPARTTIENT OF HEALTH
PBINCETON,INDIANA
THIS IS TO'CERTIFY, that our records show NOVA C. NEWTON
4/26/78 at 4:30PM 628 W. Walnut Princeton, Ind.
month day year hour of death street, hospital, ruial
Age at Death 79 Sex M' Color �' rlarital Status Married
yeara write whether married or single
Primary cause of death given was MYOCardial infarction \
g��,� b5, B. C. Brink, D.O. Princeton, Ind.
physician or coroner address
Place of burial or removal White Church Princeton, Ind.
name of cemetery address
Date of buriat ���9�78 Colvins Princeton, Ind.
Funeral Director address
SEAL
�v L��C��� ���
Signe�l
Gibson County Health Commissioner
OaklandCity, Ind. 5/3/7$
address date
Recorded lceally in book No. 9 page No. 62 �led: 5/3/78