Death Certificate - Rodgers, Wilson_5/10/1979�
:
It�f;ORD 0[� DEATH � �
GIBSON COUNTY DEPARTn1F.NT GF HEALTH
PRINCETON, INllIANA
T:L'S IS TO CERTIFY, that our records show-1dILSON RODGERS __dia�
4/29/79 ar 1�SSPM Gib. Gen. Hosp. Princeton, Ind. _�
month day year � hovr ot denth etrect, hoepital, rvml
66 Male White ` Marrie•�
Age at Denth �ex Color Marital Statua
peara write whether mnrried or >ingla
Primlry cnuse of death given was Cancer of Lung __
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James F. Peck, M.D.
physician or eoroner
Princeton, Ind.
�---- ¢ddross
Place of burial or removal T�Q_.Q.F. 3L1Y�C.€�Q.t1�_Ind• _---
name" of cemetery nddrr.ss '
Dste of burial 5/3,�79 Colvin PriciCeton. Znd.
Fhne=sl Direetor addresa
���G'� ,,� i'z�?
SEAL Signed � �"' __
Gibson Cauntp HealLh Ccm:nia;inr.er
OaklandCity, Ind. 5/3i7G
, nadresa r :`s
Recorded locally in book No. 9 page No.__ g3 �iea: 5�2�79 --- --_