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Death Certificate - Auxier, Warren Wilson_7/28/1975
RECORD OF DEATH � � �. � . . . GIESO\ COUNTY DEPART\IE?�rT OF fIP,1LTH � PI:IVCETO\, ItiDIA\d � �.;:9RRsiv '.•i;iSOid e1t�XZ�F. . THIS IS TO CERTIFY, tliat our recoi•ds�sl�ow' ��>+ d; 6/25/1975 at �=:45 Dm Rit71 �oF 29�Y Gakl3nd Cit.'Ir ltlC��an2 .' month day year hour of death _,strcet, hospital, n�ral �. � � 54� hie�le !!hite • hiarrled . • Age at Death_ _Sex Coloi• __llfa!•ita! Status �' ' yeats ' write whether married or sin�. Acu�e �n;�ocardial infarction• (10 ?�dns.) , Primar}� cai:se of death given was idm. ?. DYe, !�D Oakland City, Indlar.a Signed by— physician or coroner nddress � ICe�; Prospect �eT=ntry �ano�rer, Indiana'. Fldee u� buria; o: � erriuc°al - - - - - - - - n�'or°n";o��iiarv Oaklard �itv �`}��i�na Date of 5/28/1°75 Gra��sor•-3arnes Fun=r�1 :'.ocr,P, 9anover, Funeral Directm• address t , SEAL Indlana a . . �/ Signed f�^'!��!i`A -- Gibson County Health Commissioner Frinceton, Indiana '%/16/197' address . date 3-52 5 7/2/1975 Recorded locally in Iwok No. Page No. Filed: .. . i_,. _ - — --- � - -- --- --- -3.—�-;--- _- - - --- - � �'F . . � . . . . . � �� -. ' .. . . • ' * � ._i _r� a:f .