Death Certificate - Seamon, Alva_4/14/1976e
KECORD OF DEATH �
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GIBSON COUNTY DEPARTIIENT OF HEALTH
. PRINCETON, INDIANA .
THIS IS TO CERTIFY, that our records show ALVA FV9r�T SEAt-?ON
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3/27/1976 at. 3:3oata �cs�,. r_A„_ u„�„
month day -year hour of death �street, ospital, xu%al ' �
Age at Death 73 Se,� �`ale Color��lhite Marital Statu� A'•aTried
ye.yry - . . - write whether mazried or single
Primazy cause of death given was t•Tat��ti r r3rrinn�,.�a nf i���ss n. }+He�
Six..�3 b, �•lilliam �. Dye, i'.D. Oakland City, Ind. _
physician or coroner address _
Place of burial or remov°' Providence Francisco, Ind.
. name of cemetery addresa � �
Date of burial 3/29�76 Corn ?4ortuarv OaklandCit,y, Snd.
� + F�neral Dirnctor address
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signe�l
• �, - Gibson County Health Commissioner .
; �° Oakland City, Ind_. 4/.5/76
� � � . � t � addreas date
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Recorded loe�al�yin book Na 9 page No. 24' F'iled: �'��'��S