Death Certificate - Stuart, Justice W_5/31/1979/�
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RECORD OF DEATH
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GIBSON COUNTY DEPARTMENT OF HEALTH
PRINCEfON, INDIANA
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',,� THIS IS TO CERTIF'Y, that our records show JUSTICE W. STUART ai�
. __ 5�22�79 8t 2�30PM Gib. Gen.Hosp. Princeton, Ind
.,� month dny year hour of death
� stmet, hospital, rural
Age at Death 55 Sex M• Color Wh• rlaritul Status blarried
i� YeB� write whether marsied or single
Primary cause of death given was Cancer of Lung
;•� Signed by .:ares F. P_EC`M.D. vr1IIC�Qt1.__Ind.
physlcian or coroner addrcsa
� Place of burinl or remova� St. Steptiens RR �2 Haubstadt Ind.
� nnme of cemetery address —
� D;�te of burial 5/Z4/79 Wade Haubstadt, Ind. �
F�nernl Director addresa
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SEAL Signe�i
,� Gibson County Hcalth Com i ssioner
d Oakland City, Ind. 5/3o��g
� address date
� Recorded locally in book No- 9 page No- 83 F;��: 5/30/79
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