Death Certificate - Benson, Benny Gordon_9/27/1985� I
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GIBSO\ COli�TI' DT•.'PARTDI�NT 0'r' HI:A1',iH
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THIS IS TO CEP.TIF]', that our records show BENNY GOltDO� _F'.�NSON ___ died
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7-1G-85 at10:15At•1 RR 1., Owensvi.11.ei_IN_ �..f':.�' �
month day year hour of dcath . ,, ,.nCreet,�hospital; r�ral '
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Age nt Death.53 Se�-male __Color White nt;,ri1-�: Stut.�s_�mrirried
' yalrs . � ,� . t�rite whethcr married or eingl�
Prima�y c��use of death gi��en was_�cute respiratory fai.ltu:e
g���ij U�•Ri.ck Crawford h1.D. 611 Harriett,Suite 408,Fvansville,I:
' Fhpsidan o• corener nddress
Place of Uurial or remocal Saulmon Cemeterti• RE, Pose,Lil.le, IN
name of cemetery � ' nddres,
Dateofburial�-19-85 Holder's Funeral I9ome,It�'c. Oo:ensville, IN
� ' Fimeral Dircctor address
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Signed
Gib;on Coun�: Iicalth Co missioner
naklancl Citv._I,1 7-22-85
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Recorded lccall�� in book ro. 1p Fage Na 1`�9 Fi?ed:�/-22-85
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