Death Certificate - Whitworth, Harvey_3/2/1981�
RECORD OF DEATH � �
:GIBSON COUNTY DEP.9R1ivIENT OF HEALTH
� n � PRINCETON, I1�TDiANA
ti
TFIIS IS TO�GERTIFY;;that'ourirecords show ��ARVEY 0. WHITWORTH
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2/21/81-'?: ,at :�4:06PM Gib. Gen.Hosp,: Princeton, Ind.
month day C' year 6oui'of death street, hospital, tural
. ;�•• t - � _ '..
Age at Death- �=•.?5 -: Sex M' Color �' Marital Status Married
'�years „i.`•� �vrite whether married or single
Primaiy cause of~death gi��en was Gerebral anoxi.a �
Signed by Bruce C. Brink, Jr. , DO Princetor., Ind.
physician or coroner address
Place of burial or removal H�gh__land Me�riorial Mt. Carmel. IL.
name of cemetery address
Date of burial 2�24�A1 Ker:dall Princetor, In@.
Fiineral Director address
l� ���� �° � ,�z' .
SEAL Signed
�
� . Gibson County Health Cozdmissioner
Oakland City, Ind. 2/25/81
address dace
Reeorded localty in book No. 10 Page h�o. 33 Filed: 2�25�81