Death Certificate - Steiner, Roy E_3/14/1980RECORD OF DEATH .
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GIBSO\T COUNTY DEPf1RT�1EATT OF HEALTH
PRINCETON,INDIAVA
THIS IS TO CERTIFY, that our records show ROY E. STEINER
4/4/73 at 6:10AM (D.O.A.) Gib. Gen.Hosp. Princeton, Ind.
month day year hour of death street, hospital, rural
Age at Death b7 Ses M' Color ��• Marital Status Married
years write whether married or single
Primar}• cause of death given was Undetermined
Signed by K.P.Il��. Tonl a. l�aputy Cnrnnar Pri npatnn, Tnri _
physician or coroner address
Place of burial oi• remo��al Ma ln e Hlll Princeton, Ind.
name of cemetery address
Date of burial 4�7�73 Colvin & Son Princeton. IRd.
blmeral Director �address
�• ''� _ " tG�'( C �.C/
L/�
SEAL
Signed
Gibson County Health Commissioner
Oakland City, Ind. -:! 3/14/80
address . • � � date
Recoided locally� i�i book No. 8 page ATo. 80 F51ed: 7�14l73 —