Death Certificate - Witherspoon, James H_8/29/1980� •
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j RF.CORD OF DEA1'H
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� CIRSON COUNTY DLP�IRT\IGA'T OF HEALTH
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� TIlIS IS Tn CF.IiTIFY, that our records shoH• �.__JAMES H. taITHERSP00N �.���
� A�. 24 1980 �t 9:5o AN Gibsoci Ganeral '.?osp. Princeton, Ind.
� month day pear hour of dcn[h strect, hospital, rurnl '
� Age at Death 80 Ge,� Nale Color �"tebiarital Status Married
• peara writ �h th
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Primar}• cause of death given
Si�med by Bruce Brink Jr. D.O.
physician or coroner
e K e er mamea or smgk
rebral Anoxia
Princeton, Ind.
addrcss
Place oi burial or removal 02.k Hill Cemete� _ Patoka Ind.
name of cemetery address
Dateof buriai $�2��80 Colvin runeral Home Inc. Princeton, Inn.
Faneral Director
CF.:\L
addrnss
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$1jtttCC�_ � " � � � . . : � • :
Cibson County klealN Commiasioncr
Oakland City, Ind. � 8/2�?/80
nddrees ,�.....
Recorde�l locally in book A�o.=10 Page No. 19 ���: 5�28�80 _
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