Death Certificate - Beatty, Adrian Abijah_5/28/1982RF.CORll OF DEATH
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GIBSON COUNTY DEPARTIYiENT OF HEALTH
PRINCETON, INUTANA �
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"I'H1S IS TO CERTIFY, that aur recorda show— pBRjpN_AR7 7AH RFATTY di�
�I_2E'�$? _at 3'25Pm Wirth Hosp. Oakland City, Ind.
manth day year ' hour of death street, hospital, rural 3,
Age at Death_ 84 4ex M' Color �' Marital Sta+»a M'
. y�� • '? write ahether married or eingle
Primxry cluse of death given was Congestive heart failure, acute
5i�,men bY---H. A. Peter�: D.0
p6yffician ot coroner
Oakland City, I!!d.
address
Place of burial or removal Spurgeon_ S��ur�eon- Tnd
. name of cemetery addmse
Date of hurial_ 4'�28�82 Corn Mortuary Oakland City, 7nd. _
� Fwnera! Director ' addrnsa
SEAL
(/(J ��� ! `v'• "G V'• � �./El�
Signe�
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Gbaon County Health Commisnioner
Oakland City,.jInd. 5/3/$2
8aare� � a8�
Reem�decl locally in book No. 10 Page No. 66 Ftiled
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