Death Certificate - Sinclair, Don_3/14/1985_� �=°=---�- �.�--' --
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KEI:ORD OF DEATH
,,_k . GIBSON COUNTY DEP:�RTMENT OF HEALTH
� , pAINCE'P�N� INDIANA '
TF[IS IS TO CERTIFY, that our records show
DON SINC7�AIR
5-16-E2 a 9PM Gibson General H
month daY Ye� . �- hour of deach� .
�...,m�e —ColorWhite
age at Death 66
yeate
Primary cause of death given
ital, Princeton, liv
streeG hospital. rural � .
arital Statusmarried .
- write w�hether married or ainBle
Cardio-respiratory arrest
: ' . Princeto___ n�?IV ___----
A . C . Kumar N . D • IIdd[29S .__ - ., .
Sigu�d bt' phyaicinn or eoroner
I.O.O.F. Cemetery Princeton, IN
Place oi burial or removal_---- address
nnme of cemetery _
R 19-82 Colvin Funeral Home Inc. Princeton, IN _
Date oC buriai addresa
Funeral Director
5F aL
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Signed
Gibsan C,ounty Health Cum ssioner
Oakla� � IN ; 9-1�-82 ��
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