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Death Certificate - Smith, Charles D_2/27/1979.�: . . .. ._ . _ .- . r� ... -..�----*:-r-4-.-��. ..—.� .,�-. ...�,,,.�,f�. .. . . } .. . �. �. .. , � �� a��a✓��..r : �� ^ v • .� i � t • � i ItECO1tD rOF DEATH ; �� GIBSON�COUNTY DEPARTA4ENT OF HEALTH PRINCETON, iND1ANA � i � � � TIIIS ?S TO CERTIFY, that our records ahow CHARI,ES DANIEI, SMITH die3 . _ ^ � L/�3/'/`i' at 11s�u month "day year hour of d Age at Death 5� Sex M. !' yeare R Primary eiiuse of death given wa4— Si ��d nceton, Ind. atmet, hospital, rural ia. due to Richard D. Hickrod; Deputy Coroner �Status Niar_�ie3 � write whether married or �ingle hanging n �Princeton, Ind. �. � .., phyeicinn or coroner ? address � I'lace uf Uurial or removal White_C.Ylldreh __$$__p�inC2ton,_T;_�d_________ nnme of cemetery ¢ddrcss � Dateofburia� 2�11/79 Kendall Princeton, Ind. ' Ftineral Directoz addrese _ :: � =-� �v�-��°�� . � 3EAL � ` ' , _ �Sn� (/ ,. __ Gibaon County Health Commissioner , ,_,_ Oakland City, Ind. 2/14/79 ad�ireas dace , Recorded locally in book No- ' H-52 page No��ea: _ z�i3�79 ----- . y a . . ' .��_..___-r.�__ ;._.:.-�.."" _"'_. �a,��,..,w•.-.�.«' � n-+ . . . .. . - . . . . . � . - . . . . . . . . .. . . .l ' . . . � � ' , • I . '' .i ��. ' � . y 0