Death Certificate - Paul, Charles R_12/16/1982:•_a�un or• ur:,�Ttt ; .
i
GIBSON COUh"PY DPPARTAiENT OR�.H�ALTH
PRINC�PON„INllIANA
Ilti 1S TO CI:HTIFI', that our records show CHARLES'R. PAUL' died
_?�/11/�? _at Wirth Hosp. ,Oakland�City, Ind.
month day year hour of desih i•'. etreet;� hospital, rural
re at I�eath 65 Sex Male Color WhiteM��-Statua Married
y¢an ,� � � writc whet2�er married or aingle
inu�ry uusc of death giyen was Oat Cell Carcinoma of I,ung
H. A. Peters,.D.O.
�med Uy—
- phyaieian or coroner
Walnut Hill
;�ce oi burixi or removai —
name of cemetery•
Oakland City, Ind.
address
F't. Branch, Ind.
address
�te of buriat 4�15�82 I,amb Hed�es Oakl�nd City� 7nd. _
FLneml Director addreas
SFAL
�l��'r��ZV'. t/cl�)
.S'1$ilE�
Gibsod County Health Commis ner
Oakland City, Ind. 4/30/S2
aaa�� a8u
�corded locally in book No. 10 Page No. 65 F'iled: ��30�82