Death Certificate - PoRtee, William_7/12/1982IZ1iC��it11 p1' llF,:1TH �
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G113SON COUNTI` DGPAI.TDfIP,NT OF HEALTH
19{WCI•;TON, IND1qNA
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'i'IIIS IS TO CI;I:TIFY, that our records show---l�J1J��!iM PoRTEF.' dicd
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6/24/82 at 2:20PD7 _ Gib. Gen.Hosp. Princeton, Ind.
month dnp year hour of death 'Street, hospital, nral .
Ace :it Dcath 61 _Se% P�7ale Color Blac}�,1lrital Status Married
yexrs ' write whe[her married or sinRle
Yrim:�r�•_e:iuse of death given was_ 1�`!YoCaY'dlal InfaT'Ct10n _
Siy,rntd by._—_. Eruce C. Erink_, Sr. Princeton, Ind.
physician or coroner nddrnss
Flace of burial or removal Sand Hill Princeton, Ind.
name ot cemetery address
Date. of t;urial_ 6�28/82 Colvin Funeral Home Princeton, Ind. _
�neral Director address �
SE:1 L
(,J ��'! �nr � . ,�,b
s�sn�a
Gihson County Health Commissioner _
Oa}:land City, Ind. 7/E/S2
addreac date
!:c�cm•ded locally in book No.— 10 Page No. �� Ftiled: 7�6�$G