Death Certificate - Skelton, Charles_12/30/1975RECORD OF DEATH �
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GIBSON COiiNTY DEPART�IENT OF HEALTIi_
PRIRCETON, IVDI9*1�1
THIS IS TO CERTIFY, that our records sho«� ��RLES W. SKELT013 died
Aua. 2, 1967 at 8�90FM l;Lh_ rc�n_ Eosp Pslnceton, In�
month dap yeaz hour of death street, hospital, rural
Age at Death 77 Sex Male Color idhite �farital Status ��Tnrrt Ar�
years R'rite �chether married or single
Primary cause of death given wa� Cardiac arrest
Signedby Vlrall McCartV. M.D. FrinePton, Tnd.
phcsician or coroner address
Place of buria] or removal I. O. 0. F. RR 3 Fr1 nr.atnn _ Tnri .
name of cemetery address
DateofburiaL 8/5/67 Colvin 3c Son Princeton, TnA.
Flineial Director address
SEAL
VV '� Y�%'C C.i-. I '!GI < �.C/
Sio 2d
Gibson Countp Health Co issioner
Oakland City, Ind. 12/'i0/75
address date
Recorded ]ocally in book No. 7 Pag�e No.—__1_$2Filed: R/11/��