Death Certificate - Stone, Rollie P_1/22/1981RECORD OF DEATH �
GIBSON COUNTY DEPARTMENT OF HEALTH
PRiNG�!'ON, INDIANA
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THIS IS TO CERTIFY, that our recorda show ROLI,IE PRENTICE STONE
3 22 75 at10:50AM Gibson General Hosp Pri�ncetori. Ind
month day year hour of death � .� ateeet, hospitel; 'mial
Age at Death 85 �px Male �or White M,,,�� StatuA Marri:ed
ye� `wtlte wdather martied ot ei�tgle
°r:.r.ary cause of d�ath Bilateral Pneumonia ��Coi�estive Heart
given was_
Failure �� . � . • - ' _ � - - -
Signed by— Bruce Brink D 0 pri n�p+ � r��� •
� � . PtiY�elsa or ectoaer addrea7 . : : � . .
Place of burial or
Date of
nsme oi
Fh�eeat
3EAL � "" ,���� t �b
Gibeoa Co�ty'Health,
Oakland,City,,ind. ., 12/29/80
� ad�ese . . . . _. . . �',
Recorded locally in book No. 9 page No-- 5 '�t�:_�/31/75 •
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