1.  Decedent name:  William Peter Garside            2.  Sex:  Male                3.  Date of Death:  Nov. 1, 1978
4a. Race:  White       4b. Spanish Origin or Descent:  1. Non-Spanish        5a. Age -Last Birthday:  64    6.  Date of Birth:  March 6, 1914
7a. County of Death:  Sharp    7b. City, Town or Location of Death:  Williford    Inside City Limits:  Yes    7c.  Hospital:  No    7d. at Home
8. State of Birth:  Indiana    9.  Citizen:  U.S.A.    10. Married    11.  Surviving Spouse:  Louise Mashburn    12.  Armed Forces:  No
13. Social Security Number:  266-14-8022    14a. Usual Occupation:  Heavy Equip't Operator    14b. Construction
15a. Residence-State:  Arkansas    15b. County:  Sharp    15c. City:  Williford    15d. P. O. Box 54    15e. Inside City Limits:  yes
16. Father name:  Dr. Peter Garside    17. Mother-Maiden Name:  Margaret Colflesch
18a. Informant Name:  Louise M. Garside    18b.  Mailing address:  P. O. Box 54, Williford, Ark. 72482
19a. Burial, Cremation, Other:  Burial    19b. Cemetery:  Williford Cemetery    19c. Williford, Arkansas
20a. Date:  November 3, 1978    20b. Name of Funeral Home: Higginbotham Funeral Serv.    20c. Address:  Hardy, Arkansas
21a. Embalmer:  George T. Vore; License number: 1325    21b. Registrar: Oleta Landers    21c. Date Received by Registrar:  Nov. 6, 1978
22a. --   
23a. On the Basis of examination and/or investigation in my opinion death occurred at the time, date and place and due to the causes stated.  George T. Vore, Dep. Coroner        23b. Date signed:  Nov. 3, 1978    23c. Hour of Death:  2:20 PM    23d. Pronounced Dead:  Nov. 3, 1978    23e. Pronounced dead (hour)  3:10 PM
24.  Name and Address of Certifier:  George T. Vore, P. O. Box 532 Hardy, Ark., Sharp Co. Dep. Coroner
25.  Immediate Cause:  Acute Congestive Heart Failure

THIS IS TO CERTIFY, that the above is an exact reporduction of the original record on file in this office and of which I am legal custodian.  Witness my hand and seal of the Arkansas Department of Health at Little Rock, Arkansas.  (Copy not legal if it does not have raised seal.)
Date:  November 13, 1978
Henry C. Robinson, Jr.
State Registrar

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