Death Certificate - Stone, Leon_12/5/1974RECORD OF DEATH I �`
/
GIBSO\r COti\rTY DEPART\ZENT OF HEALTH
PRIkCETON, LVDIAVA
THIS IS TO CERTIFY, that our records sho�v L���' �• 510Nc
Nov. 29� 197u at 7�10Ah'i Gib. Gen. EosD. Princeton Znd.
month day year hour of death street, hospiial, n�nl
Age at Death E6 Ser Male Color jJhite �qarital Status t?arried
years write a-hether married or single
Primaiy cause of death given wac Vantricul3r Fibrillatlon
Sio�ed}�y- 4. S. i�i�ElrnX, M.1. PrinnPton, Ind. �
ph}�sician or coroner address
Place of burial or removal MortaomerY Oakland Cit,y,Ind.
name of cemeterv address
Date of buria� 12/1/�4 Colvin 3c Son Frincetor., Ind.
Funeral Director address
SEAL Sig�ied ' ""� ``������t���
Gibson County Health Commissioner
Princetor,, Ind. 12/3/74
address date
Recoi•ded locally in book No. �` Vaae \o. 107 Filed: 12/3/94