Death Certificate - Stuckey, Harold E_10/26/1979��
ItEC01tU OF UEATH � .
GIBSON COUNTY DEPART�IliNT OF HEALTH
YRINCE"fON, INDIANA
THIS IS TO CERTIFY, that our records show 1iAROLD E. STUCKEY
8/20/79 ar 7:30PM Gib. Gen. Hosp. Princeton, Ind.
month day year hour of denth atreet, hospiGal, rurnl :
Age at Death 6�' Sex M' Color �' Marital
yesis
Primary cause of death given
Carcinoma o£
Married ;
write whether married or eingle
�
Signed by Wm. R_�J.ell�,�i7_D. Princet9.tl,�nd.
phyaicinn or wruner nddresa '�
Plnce of Uurial or removaL— Memor.y I,ane Memorial Park Schererville, Ind. ,
" pame ot cemetery address '
Date of buriat $/25/79 Lamb-Hedges Oakland City, Ind.
�Flineral Director addresa '
SEAL
5���
Gt> ���r� �° < �.�
Gibson County Health Commiasioner '
Oakland City, Ind. 8/28/�9
uddreae
aaw
Recorded locally in book No- 9 page No 88 Filed: $�28�79
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