Death Certificate - Westfall, W Charles_6/17/1969RECORD OF DEATH - • �
GIBSON COUIVTY DEPARi'DiENT OF HEALTH .
. � � � PRINCETON, INDIANA .. . � � . -
THIS IS TO CERTIF'Y, that our retords show W. CHAi�LES WESTFALL died
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month.� - day . ''.yeai •_ hour�of death - - �street,
Age at Death 5�' Sex Male _Color White Married
� � - y�IS � � � ' � - � � ' write whether married or single
Primary cause of death given was Arterlosclerotic Heart Disease
_ Signed by:--� —_ James F. Peck, nm priri�Pton, �d _
— - � - � � � - physician or c`oroner . . ' � . � , - .' � address" ' "-� ' . ' . �
Place of burial oT removat Walnut -Hill Cemetery Ft. -�Branch, Ind. -
� - name� of cemetery . � � �- �� - address � - �� " -
Date of buria . �'�17/69 I�ib_ Funeral Home � Ft. anch, nd.
� � � � � �� �Funeral Director , � ad ss ` . .
SEAL r: .� Signed ' - �.;
- _ �:',F�>_ . � . � � Gibson County Health Commissioner �
`Y � Princeton, Ind. 5/20/69
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, � . `. �: , " � . . address � .- . . . . Date
Record?il locally in book Ao � � page No. 260 Filed: 6/17/69
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