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Death Certificate - Sloan, George D_1/31/1967. _� , Loc�L : . . �` � . . � - ' RECORD OF DEATH • � - - ' � CITY. DEPARTMEATT OF HEALTH . , . . - :'• .- . � � .� . . �PBINCETOA`, [VDIA\A.. . .' . - . � .. . . ' ' , �GnORGE D..:SLOA�.` THIS •IS TO CERTIFY, that our recoi•ds show � died �September 12 •1966 a at5:30 AM=Main Street-Patoka, .Ind.-- � ' - � month� � . , day , - ,, year -. � _ . . . � hour �of death- � .. .: ..' � street, hospital, rural �, Age aE Death' 67 �Sex' M81e , Color White - hiarried -" , ' . . . }•ears . � . � � . . - � � - �crite �vhe[her married or singie- . Primary cause of death gi'ven was` Uremia - , . , .Signed.by Bruce Brink, .D.O. . Princeton., Zndiana _ . _ .I . i ' - " �, �'. ' -. � : _'. .ph}�sician� or �cvroner '-� ' - „ � . . address . : . . . .. •. . . /'.. �. . . . . _ . . . _ . . . . Place-of burial or removal Decker Chapel Patoka; Indiana . _ . ' , . � � name�-of cemetery � � � . ' . � , � � address . � � .. . _ � Date of burial 9-14-66 Colvin & Son Prince'ton 7ndiana - , ' - � � � '- �Funeral Director . , � � . .. , addmss_ : . - . . SEAL ' ' .�.... � Signea/.�.X� ��.�iClr!/� !�•� Secy. ' , • • . • _ M: ' • � . -. _ . .Princeton; Indiana '1-31-67 � . ' � � - . ., � . . "' address : - - . . _ . - � .' .. - Date . . � _a ... . _ �..' . .. � -. . . . . .. ,. ._ , , , Recorded locally�.in book.No. H-S� Page No. .- 9�-• � ,'� '"Biled`;.,12-8-66 _: . ' � .. � . � • • .Z' _�. ,,.L. ti• . . . - - . . _ � . �•. . � � . �_ - _ _ . . � . ,