Death Certificate - Stoops, Charles Arthur_8/8/19801
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RECOItll OF llE:1TH
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GIL�SON COUNTY DEPAi.TJILNT OF,HEALTH
YRINCF.TON, 1NDIAN.1
THIS 1S TO CF:RT[FY, thnt aur i•ecords sho«� —CHARLE�AET�iI7B_ST1)DpC died
�n/?�/79 3AM 819 S. Stormont Princeton, Ind. _Y
month day ye.�r � hour ot death stmet, hoapital, rurul
Age at Death 68 Se� M• Color �'�h. Mflrital Statua Marri eg_
yeare
write ivhetl�er married or Fingle
Myocardial infarction
Primnry cause of death given was---- -- ,
Wm. R. Wells, M.D. Princeton
SiAned by�--------------^ .
phyeician ur coroncr -nddrexe
Maple.Hi11 Princeton, Ind:
Pl:�cc oY burinl or removaL— ---T— -- -
qame o[ cemetery -��nddresa-- - -
Date of buri 10/24/79 Colvin Princeton, Ind.
Fh�neral Director addrese � .
SEe�L
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VV VY/ C'��j�y �L�i-( ��,C/
Signed � ~
Cibson County Health Co miasionet
voY.land �.'l �y . T^u � ���� �?n�
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Recorcled locally in book No. 9 Puge No. 91 �led: 10�24/79
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