Death Certificate - Skelton, Dale D_5/23/1979ii
RECOI{ll OF DEATH
G•ON COUNTY DEPARTTiCNT OF HEALTH
PRINCETON, INDIANA
TIIIS 1S TO C�RTIFY, thnt our records show DAL� D. SKI:LTON �1e�i
$�5�69 at �i15AM Gib. Gen.Hosp. Princeton, Ind.
month day year hour of death etme[, hospital, rural
Age at Death �� Sex Male ��or White Marital Status Married
years wrlte whether married or eingle
Primary cause of death given w�.a Acute myocardial infarction
Si�ned by R. S. McBlroy. MD Prir�ceton.� Ind.
phyeicinn or coroner eddress
Plnce of burial or removal Patoka Patoka, Znd.
- name of cemztery addrese
Dute of buri�� 8�8�69 Colvin & Son Princeton, Ind.
FSinaeal Illmtor addrese
,
G� ���ni �° � �,�
sEnt, Siau
Gibeon County Health Co ' ioner
OaklandCity, Ind. 5/23/79
ead� aa�
Recorded locally in book No- 7 rage No_ 268 F;��, 8/8/69
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