Death Certificate - Skelton, Williams D_2/18/1982i
RECORD OF DEATH * y •
GIBSON`COUNTY DEPAP.TAZENT OF HEALTH �
' PRINCETON, INDIANA
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TEiIS IS TO CERTIFY, that our recor`ds 'show ''�I'Ll'IAM �8'T" �YiiLT01'i died
5�9��3 at 10:15F'M•� _:�.Gib. Gen.Hosp. Princeton Ind.
month day year hour ot death �-" '. ._-p-- street, hospital, tural
7 S �,; ` : ry �,:,m . r.� .
Age at Death __Sex___— ' Color ;. Marital Status -
}.�� write whether married or single
Yrimaiy causc of death given w�is sastro :nteri+.is wwth heart fatlure
Signed by_ 0. M•Graves, I�?•D• Princeton, Ind.
physician or coroner address
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Place of Uurial or removal_— f4aple Nill___ Princeton, Ind. __ __
name of cemetery addreas
Date of burial 5/12/63 �,Jri�t & Kendall Princeton, Ind. __
Funeral Director ' address
SEAL
l,t1 L��e-nr � ,'�,b
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Gibson County Health Commi aioner
Oakland City, Ind. 2/19/82
address ��
Recorded locally in book No. �'- 5�—_Page No.— Z�i�ed
5/11/63
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