Death Certificate - Priestley, Gradice_5/16/1978RECORD OF DEATH
G�SON COUNTY DEPARTMENT OF HEA•H
PRINCETON, INDIAhA
THIS IS TO CERTIFY, that our records show GRADICE PRIESTI�DY died
_ 5/4/78_ at 9�10AM RR Patoka, Ind.
, month day yeaz hour of death street, hospital, rural
Age at Death 79 �ex M' Color Black Marital Status Married
years � write whether married or single
1
1
Primaiy cause of death given was F`r'acture of Cervical
Signed by Richard D. Hickrod, Deput.y Coroner Princeton, Ind.
physiciar or coroner address
Place of buiial or removal Patoka Patoka, Ind.
name of cemetery address
Date of buria� 5�8��$ Colvins Princeton, Ind.
Funeral Director address
SEAL
�G �� �c � � .�,1�
s��
Gibson County Health Co 'ssioner
Oakland City, ind. 5�9/7$
address
Eecorded locally in book I�TO. H-52 Page No. 42 Filed: 5�9/78
date
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