Death Certificate - Wallace, Denzel R_3/14/1988�
RECORD OF DEATH i� �
GIBSON COUNTY DEPARTnfENT OF HEALTH
PRI�CETON. I�DIAhA
'I'HIS IS TO CERTIFY, that our records sho«• DENZEL R. L9ALLACE died
Januarv 9, 1987 at 7:29 A•M. Gibson General Hospital Princeton, In.
mon[h dey yeer hour ot dea[h sveet, hospi[al, mral
Age at Death 82 Sex blale �o�or Nhite �,farital Status Married
yeers � write whether married or single
Primary cause of death gi��en was Cerebral Anoxia, Cardio Respiratory Arrest
Cerebrovascular accident, orobably diffuse.
Signedby Rri�rP C'. Rrink 7r. D.O. Prin - on Tn
physician or coroner eddress
Placeofburialorremoval OwenSVille OwensVille, In. . '
nameo(cemetery � address
Dateofburial January 12, 1987 Colvin Funeral Home Princeton, In.
Funerel Dvector eddress
SEAL
Signed ��'l'I �9�`. ����
Gibson Counq• Health Co ssioner
Oakland City, In. January 20, 1987
address date
Recorded locally in book \'o. 1 1 Page No. 'i � Filed: .7ann a rv � n, 1 9 f? 7
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