Death Certificate - Simpson, Paul T_11/29/1977RECORD OF DE:�TH O
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GIBSON COUNTY DEPARTMENT OF HEALTH
PRINCETOV, INDIAhA
��. THIS IS TO CERTIFY, that our records show PAUf THOMAS STMP40N died
��•. e/,K/�oK�z ..4 �nAM RR 2 Oakland Citv. Ind._
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month day year hour of
street, hospital, rural � ___
Age at Deat}� 5$$QY �41e Color Wh. l�iarital St�ltus Married
yeara wtite whether manied or single
Primar}• cause of death gicen was CoronarY thrombosis
Sign2d by RObeY't D Ken�7 �� f nrnnPr Prinratnn� Tn�l �
� . . phpsician or�coroner� � , - - address . .. .
F. . �
Place of burial or remo��ai PAontgomQr_y 0 kl andf ; ty, Tnd .
� � ' -'- - � '-' - ` - � - _: � �name. of• cemetery .. , ., ... .. .. —. . —. . address . .
Date of buria� 5�18L4"i Lamb & Son Oakland C�ty Ind�.-
Fiineral Director addmss .
� SEAL
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Signed � �v
. Gibson County Health Co missioner
� � Oakland City, Ind. 11/29/77
i.
address date
Recorded locally in book No. H-47 page No. 68 Filed:�2Q/�'�
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