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HomeMy WebLinkAboutDeath Certificate - Yeast, John H_3/19/1969RECORD OF DEATH � _ •- _ � • ' GIBSON COUATTY DEPART➢1E\TT OF. HEALTH '(� � . � � � � PRINCETON,INDIANA , . � , . , THIS IS TO CERTIFY, that our recoi•ds sho�ti- JOHN H. YFAST ' died '., October 4 1968 at8:30PM;Gib. Gen. Hosp. Princeton, Ind. month • day � � �yeaz �� hour of death � � �street, �hospital,. rural ' Age at Death 82 SeX Male _Color iJhlte F9arried . . � qears � ' . � . " -. wTite whethei married or single � � � � � � Primary cause of death given ��as Myoca�'dial Znfarction � - . , ; Siened-by R._ E. _.i�Jeitzel, M.D. � ,Princetori, Ind. _ ' ' ` _ ' � ph}-sician or'coroner - � � � ' " . ' � - �'address . � - � , �_ Place of burial or removal Pleasent Aldae Cemetery WinsTow. Ind. � � - � name of cemetery . . . address . � � . � Date of burial 19/7/68 Kendall Funeral Home Prince on, Ind. _ - - � � � Funeral Director � � � � _ � - � d e s - � � � ,. . � � /H`A : SEAL Signe ' . - . . � � . �. Gib"son County Health Commissioner �- - - ' - . � - . _ . . - � � �°t��'. � Prfnceton.� Ind. � � 3/6/69 � � addrnss��. �' ' � �Date _ti . �i f . . " _ __ . . . ♦ � � _ � . . -. . . ♦ ' Recorded locally- in booksi:o. 7 Page No. 228 : F'iled:�/g��g � �a � ' �� . . . . - . . . _� :�� . . . - .. � - . . . ..