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Death Certificate - Butcher, Ruby Augusta_9/29/1981c
RECORD OF DEATH
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GIBSON COUNTY DEPARTIIENT OF HEALTH
� -� � � PRINCF7TON, INDIANA ..
TIiIS IS TO CERTIFY, that our records show RUBY AL'GUSTA BUTC't�R _ d
� 9/24/1975� nt 4:SOPM P.O. Box 301 Somerville, Ind.
. month day year hour of death street, hospital, rural �
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Age at Dea+h 61 Sex Fe. Color Wh. Marital Statua M.
Y� write whether married or eingle
Primary cause of death given was Acute ri�ht con�esti ve heart fa? ltre
Signedby Howard N. Ropp, DO Oakland City, Ind.
• pLysieiap oz eozoaer addresa
Place of burial or rnmoval St. John's Buckskin. Ind_
name of cemetery nddmse
Date of buri�l 9�27��5 Corn Mortuarv Oakland C� tv Ind.
Fhneral Director address
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SEAL
s�� l,t� ��'I� � ' �`�'—
Gibaon County Health Commie nez
Oakland City, Znd. 9/29/81
� �� date
H-5? l0 9/29/75
Recorded locally in book No page No: �led:
