Death Certificate - Stone, Clarence Robert_10/31/2005, _ _.. .. .. . _ _ � _ -_ _________ _.._ . . .
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GIBSON CO•UNTY DEPARTMENT�OF HEALTH-�' ,i
800 S. Prince St. �yf ^�
Princeton, Indiana 47670 �, *,�° v
812-385-3831 '��'
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RECORD OF DEATH
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THIS IS TO CERTIFY
that according to the recorda of the Gibson County Department of Health,
CLARENCE ROBERT STONE
Died on 02/20/1998 at 4:10 AM
Forest Del Convalescent Center
1020 Vine Street
Princeton ZN 47670
Age at death . 73 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Alzheimers Disease, 1 year
Ankylosing Spondylitis
Signed by: William R. Wells, MD
510 N.Main St.
Princeton IN 47670
Place of burial Decker Cemetery
or removal:
Date of burial:
Funeral home:
Patoka, ZN 47666
02/24/1998
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
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OCT 3 1 2005
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GIBSON COUNTY AUDITOR
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Signed by �.lG!'J"''r'1G. w�.�,�;;::I
Gibson County Health ,ommissioner
S E A L
Oakland City, Zndiana 02/23/98
Address Date
Recorded locally in Book No. 13 Page No. 58 Filed: 02/24/1998