Death Certificate - Selby, Carl E_5/5/1994G I B S O N
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COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O RD O F D E A T H
THIS IS 7'0 CEBTIFY
that according to the records of the Gibson Cotmty Depar�ent of Health,
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Died on O1/22/1994 at 7:55pm
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 72 Years Sex: M
Marital Status: Married Color: White
Cause of death: Acute Cerebralvascular Event,
' Stroke Syndrome
Si�ed by: V. Paul Banning, M.D.
401 N. Richland Creek Drive
Princeton IN 47670
Place of burial Union Commmunity Church
or removal:
Union IN
Date of burial: O1/26/1994
Ftineral home: Colvin Funeral Aome, Inc.
S E A L
425 N. Hain St.
Princeton IN 47670
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AUDITOR s'�
Signed by ��'1 ���"`r�'���"
Gibson County Health�Commissioner
Oakland City, lndiana O1/31/94
Address Date
Recorded locally in Book No. 12 Page No. 84 Filed: O1/31/1994