Death Certificate - Rodgers, William A_10/14/2003GIBS• COUNTY DEPARTMENT � HEALTH
800 S. Prince St.
' Princeton, Indiana 47670
812-385-3831
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THIS ZS TO CHRTIFY
that according to the recorda of the Gibaon County Departmeat of Health,
WILLZAM A. RODGSRS
Died oa O1/22/1960 at 12:15pm
Colonial Nursing Home
Princeton IN 47670
Age at death . 53 Years Sex: M
Marital Status: Married Color: White
Cauae of death: Respiratory Failure (1 hour)
Cerebellar Failure Medullary (2 weeks)
Metastasis of Malignat Medullary (8 months)
Signed by: Bruce C. Brink, Sr., DO
410 N. Main
Princeton IN 47670
Place of burial Patoka Cemetery
or removal:
Patoka IN 47666
Date of burial: O1/25/1960
Funeral home: Colvin & Son
� 425 N. Main
� Yrinceton IN 47670
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Signed by
. Gibson County Health Commissioner
S E A L
Princeton, Indiana 10/14/03
. Address Date
Recorded locally in Book No. 6 Page No. 292 Filed: O1/26/1960
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