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Death Certificate - Zimmerman, Raymond A_4/21/1968RECORD OF DEATH �, , � � , _ �� . . . . . . .• GIBSON COUNTY DEPAATDtENT OR HEALTH • . � � . � PRINCETO\*, INDIAVA ' . � . " �. ' . � . . _ . . . _ _ _ � . . . : . . . . . . THIS IS TO CERTIFY, that our records show n h died - April 16 : 1968 , -at 4 AM AA ��r,3 Pririceton, find. =; . • • �� � - month - �, day � - yeaz � � . �hour of death , . ' street, tiospital; rural , Age at Death �`8 �ex .M.ale • _Color � «hite �_ Marrled � � peais � - - �. ` � write whe[her_married�or single ' . Primaiy cause of death given was ' Coronary OcClusion ' - . . . � , " . . " � - ' . . . . �� . ) . .R . . ' .. .. ' . . � . . . . . . . . --Signed Uy 0. M.. Graves, M.D_. ,. Princeton, ,Ind. .- ,_ _ _ _ �,� � . ' ' : physician or coronei � ` � � � - address � „ - � � Piace of burial or removal I.O.O: F. • Cemetery PrinCeton`.- Ind. '� � � � � .� ' - ' name of.cemetery - .. , � " address - ' � • . � Date of burial �-1$-6$ Colvin & Sbn Mortusry: .' Princeton,� Znd. , .. . � � � : � F�neral Director . . � � . . . .. add�s � • � ' SEAL -., . - Si�e .. i %/ /Jf�Q . ".� _� � � =� � � � � � �Gibson County � Health. Commissioner . . . �,1 . . f ... - � '. . . . .. .. � _ < � "� � Pririceton. Irid. 4-24 68 " � �i :- • �• j � . .. ' � address . . . . - . . . . . . : . � s�.: . . . - _ . . . .. Date.. Reco"rded locally �n book��TO� A-5� page No. 103 _ F'iled: .�'17-68 " . _.* �_ - . � � � � -�,,, f ^{ . , . ' ♦ . . . !y� •, . .. . . . . . . ..