Death Certificate - Pugh, Norman J_9/10/1982RECORll OF DEATH O �
GIBSON COUNTY DEP9RT\tENT OF HGALTA
� PAINCETON, I�IDIANA
THIS IS TO CERTIFY, that our records
NORMAN J. PUGH
Dec. 15 1981 at 12:45 AM Gibson General Hosp. Princeton, Ind.
month day year hour of deatL stxeet, hospital, rurul
Male 4dhit Married
Age at Death 79 Sex Color eMarital Status—
ycara write �vhether married or single
Yrimary cause of death given was Metabolic Acidoses Renal Failure _
Cerebrovascular Accident
Siqned by Arun�: y�umar��M_n, _ pri nr�on� Tnd.--
phyaicinn or coroner addresa
Ylacc of k�urial or removal St. Lucas
name of cemetery �
Ft. Branch, Ind.
aaar��
Date of buria112/17/81 Stodghill Funeral Home Ft. Branch, Ind.
Flmeral Director address
SEAL
Signed "`� 1��4 Cr • � � Z
Gibson County Health Commis ner
Oakland Citv, Ind. 12/23/$1
addmas dav
Recorded locally in book ATO. 10 Page IvTo. 5S �tiled: 12��1
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