Death Certificate - White, Roy Gilford_10/5/1993�
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]:L�:C.'Ull1�" UF T��;ATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
ROY GILF012ll WHZTE
Died on li/16/1992 at 4:50 ;�"1
Gibso�i General Hospital
� 1808 Sherman Drive
� Princeton IN 47670
� Age at death . 77 Y'ears Sex: M
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Marital Status: Married Color: Khite
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Cause of death: Septicemia, 2 weeks. Gram Positive Bacteremia, 2 weeks
Acute Pyelonephritis, 3 weeks. Alziieimer's Disease.
� Signed by: [�rishna Murth},'tD
� 105 \.2nd
! Princeton Ik 47670
i Place of burial `It. Olive
� or removal:
` `1t. Olympus I\
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� Date of burial: 11/18/1992
� Funeral home: hendall Funeral Home
� �20 S. Main St.
� Princeton I\ 47670 .
Sio ied by _- ���✓�/ �1� �y� -
�ibson Countv Health ommissioner
tiE;�L
kecorded'locally in 9ook \o. 12
Oakland Cit�, Indiana O1/Oo/93
.�lddress Date
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Page \o. 51 Filed: 11/19/1992
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OCT 51993��
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AUDITOR
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