Death Certificate - Wilkins, Walter Lowell_4/27/1984c
RECORU OF DEATH ! � • -
GIESON,COUNTY DEP�II:T\IENT OF H�ALTH
� PRINCETON, I\'DI:1N:1 ...
THIS IS TO CERTIFY, that our records show WALTER L0�9ELL WILKENS died
3/4/84 ,t 8:30AM Gib. Gen. Hosp. Princeton, Ind. �
monch day year � hour of death street, hospital, ruml
Age at DeaEh 56 Se� Male Color�ite Marital Status Married
� y�� .� write whether married or single
Primary cause of death given was Cardiopulmonary arrest
Signed l�y. Micheal C. Kilpatrick, MD ° Princeton, Ind.
physician or coroner address �
Place of buriai or remocaL� �ite Church Princeton, Ind. .
' � •� name of cemetery �' � ' ' addresa �
Date.of butial � 3/7/84 Colvin Princeton, Ind.
�neral Director address �
F
sEaL ,
���?i �.°���ye , e��i
.S1gTlPri (!
� Gibson County Health Commissioner
— Oakland City,' Ind. 3/9/84
., � • ' ' address date
Recorded locally in book Nc. 1� _Page No. 115 Filed: 3/7/84
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