Death Certificate - Tooley, Charles Pete_10/29/1984iECORD OF DEATH � �
GIBSON COUNTY DEPAATMENT OF HEALTH
PRINCETON, INDIANA
i'HIS IS TO CERTIFl, that our records show CHARr.FS nFTF mOOLEY died
fi-1_�0 at 1,35PM Forest Del Nursina Home, Princeton, IN
month day year hour ot death stmet, hospital, rural
1ge at Death—$7 Sex male �o�or white Marital Status married
yeare write whether married or single
'rimary cause of death given was Carcinoma of tongue
,��� by, R.E.Weitzel M.D. Princeton, IN
phyeician or coroner address •
'lace of burial or remova� i•O.O.F. Cemetery Princeton, IN
name of cemetery address • i�'
late of burial 6-17-84 Colvi.a Funeral Home, Inc. Princeton, IN
F`_.•:_��1 DirecWr address �
SEAL
Gri�� �.°�,�,z�
Sign�
Gibson County Health Commisaioner
Oakland City, IN 10-29-84
addresa date .
;ecorded locally in book No. 10 Page No. 14 Ftit�; 6-19-
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