Death Certificate - Sumners, Curis William_3/21/1979RECORD OF DEATH . �
GIBSON COU?�TTY DEPARTIIENT OF HEALTH
PRINCETON, INDIANA
THIS IS TO CERTIFY, that our records slio�v CUFiIB tdILLIAM SUMNERS
May 13, 1974 at 7PM W1rth Memorial Aoan. OaklanA [`ify, Ind-
month day year hour of death street, hospital, rural
Age at Death 62 Sex Mele Color Whlte �qarital Status �rried
years ' write whether married or single
Primary cause of death given was ACUte myocardisl 1nPqrr.tAen
Sioned by �• Aouchins , D. 0. Q�kland Ct ty � 7nA
physician or coroner address
Place of burial or remocal Mont�romeTy Q�klan�,1 kn _ TnA
name of cemetery address
Date of buriat 5�17/74 Lamb-Hed�es Ntemorlal Chapel Oakland City Ind
Funeral Director address
SEAL
� ,���� �, �
Gibson County Health Commissioner
Princeton, Ind. 2/13/��5
address date
Rewrded locally in book No. 8 1'age No._9�Filed:_ 5/li/74
