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Death Certificate - Stilwell, Russell L_8/2/2004GIBSON COUNTY DEPARTMENT OF HEALTH 800 S. Prince St. Princeton, Indiana 47670 812-385-3831 RECORD OF DEATH THZS IS TO CERTZFY that according to the recorda of the (3ibaon County nepartmeat of aealth, RIISSELL L. STILWI3LL Died oa 11/24/2003 at 6:20PM Gibson General Hospital 1808 Sherman Drive Princeton ZN 47670 Age at death . 75 Years Marital Status: Married Sex: M Color: White 017114 Cause of death: Respiratory Failure,24 Hours. Recurrent Aspirations, weeks Cerebrovascular Accidents, Recurrent. Seizure Disorder, Hypertensive Bronchitis, Dyslipidemia. afanner of death: Natural Signed by: Place of burial or removal: Ramesh Patel, M.D. 105 N. 2nd Ave. Princeton IN 47670 Providence Cemetery Francisco IN 47649 Date of burial: 11/29/2003 Funeral home: /S. E A L Colvin Funeral Home, Inc. 425 N. Main St. Frinceton IN 47670 �`� � �� � � AUO � 4 2��T '" V:�JGflCi;! ��TY A.!'��;i�� Signed by �� ����`"�����' "�' Gibson County Health Commissioner Recorded locally in Book No. 14 NRA-20 (5/03) PTinCBtOR, Indidnd 08/02/04 Address Date Page No. 77 Filed: 12/04/2003 i i � � . � � � � . . . ..