Death Certificate - Stormont, Howard_11/29/1978�� mwy � �� �
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RECORD OF DEATH
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GIBSON COUNTY DEPARTI�tENT OF HEALTH
PRINCETON,iNDiANA
TIi15 IS TO CERTIFY, thst our records ahow HOWARD D. STORMONT died
12/20/�1 pt SOi30PM 310 N.Seminary Princeton, Ind.
month dey year hour of death etreet, hospital, rural
Age at Death j2 SeY M' Color �' Marital Status Married
years write whether married or siagle
Primary cause of death given �w� Myocardial infaretion
Signed by Bruce Brink, DO Princeton, Ind.
� phyeician or coroner addresa
P:ace of burial or removal Columbia Church Princeton, Ind.
name of cemetery eddresa
Dute of burial 12�23/71 Kendall Princeton, Ind.
F�neral Director addresa �
SEAL $iga
G�G��`���°� < �.v
Gibaon County Health Co ieaioner
OaklandCity, Ind. 11/29/78
' address �b
Reeorded locally in book No. 8 p8g0 NO- 4'2 Filed; 12�30/71
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