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Death Certificate - Phillips, Charles A Sr_10/21/1971
i S E -K . . - v . . . . . . ' ' - _ . � 3 4� . . . , _ _ , , i.,_ .`-" �.< ; `: . . ' . � ' � _ . � . ' ' � '.. . . .. t - :i � r - . � � , . , ' . 'RECORD OF.DEATH "• • I � : � ," ' . :;_ '. � - .GIBSON COUNTY DF.PART\'IF.ATT OF HEALTH '. , -. - "" � � - PRIK•CETO\, I\DIa\A . " � • ir'1[: _ . .. . � � ' . � ..iTHIS IS TO��.CERTIFY,�tliat our records show_ '-4fiA8LES�A. _PHZ�,LIPS. SE. . �9e� - �`y':�.� • . . ' f�Sept.�- �'• � 25 1971 �a{ 4i 5 PM Gib. Gen. Hoap Princeton; Ind.- , r�s �..mopthtr .^ - day-. � , � year hour_ of death " � ", �street;-hospital; iural � RAge at Death� '%`S � �Sex �!ale Color White � Married , ' � , __ ,�, ycars � � � -. . - . � � �crite ��•hether married or ,ingle � . Primar}• cau,'se of death gicen �s-as' � CBrC�noma of �anc�eas _ ___ ' � Signed-by-�F�`=—James F.—Peck: -M,�.--:— -- --`Princeton.'Tnd.-- - _` — --- - - . ' .C` _ - �phpsician or coroner _ address - _ � - � � ' �.'" � - - � - . " . . . - . . . . :-Place of bunal or removal I.O.O:F. ____Princeton�_Ind. " •__ _ - "=�:?'.-�i:-� � .i_ - -- name of cereten; ' � � � � � � � � - address� � � ' , �j� .9/28%�1 Colvin & Son Princeton, Ind.. ` <�Date of bunal , — . __ . : ;E� Flineral-Director. /�d r ss � �; `Y SEAL. , . - Sienecl � • �, /. ' �%� _ --' _ -- - ' � - _ - � � Gibson County Health �Commissioner - � � ;� �� - _, � Princetori; Ind. -"10� 1 71 . - . ��,,�^-: � _ - . - : . . -.. � . address . : , _ � . Date . � ' : ;�� . . �. . '. � , . . � . _ Recoided locall� m}iook?io. 8 Page No:— 37 --�'iled:_ 1��1�71 '. . .;.:. , � . ... '" .! ;.f: � � "' . . . . . ' . . . . ... . . . - ii.J 1 . 5� . N , , _ � _ . . . . � � " . - .. � � - tj' . '3} - . . � . ' �.(y` ' � ' ' . - ' � . ' � � ' . . "� . �tl _. . . � - . .�.. � . -.�R. . � . . . � . . _ ..� . ' ... '. '