Death Certificate - Waters, Roy_2/1/1983RECORD OF DEATH •
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GIBSON COUI\TTY DEPART�4ENT OF HEALTH
, � PRINCETON,INDIANA
TfIIS IS TO CERTIFP, that our records
ROY WATERS
1/6/83 ' at ,5:20AM Gib. Gen. Hosp. Princeton, Ind.
month day year hour of�death street, hospital, rural
Age at Death 79 SexV Male Color tahit��� Statu� Married
yeara write whether married or single
Primazy cause of death given was Metastatic Carcinoma Bladder
Signed byaruce C. Brink, Sr. , D.0 _
physician or coroner
Piace of burial or remo�°a1 Susott
name of cemeterp
Date of burial 1/8/83 Colvin
Fwneral Director
SEAL
Princeton, Ind.
address
RR Elberfeld, Ind.
address
Princeton, Ind.
address
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Gibson County Aealth Coavnissioner
Oakland City, Ind. 1/17/83
addreas date
Recorded locally in book No. 1� page No. $ 3 Fti]ed: 1/ 17 / 8 3