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Death Certificate - Bailey, Homer E_9/13/1977]� ^::ip � . < _ , .. . . � _, : . .. . . , TI, . a�` j' . . , _. i':. .. � �" li. . ' . i-y . ' ' t � � r RECORD'OF�DEATH � . : F � ,. ,. . � � ` • , . 4 ;" , � GIBSON COUN'PI' DEPARI'MENT OF HEAL-fII . , r} " . _ _ . . .-. . . , � . PAINCETON,.INDIANA.. . - � � � � ... • . HOEQER E. BAZI,EY ' THIS IS.TO CERTIFP, that our records show , �-' �� � �,` .'5/z4/1977At 1:30AM . . Francisco� Ind. ,�;. - `� . :'„ :�onth � t, da9 Year , hour of death e4eet. hosPital, rural ' �f-� . ri �� ..� �. � � . � � i£ ��z`. � . . . t. j : x X y; � �L��..1tJ . . �+ � f�j, .�;AgeretJDestt�.�` E"$9 h coY• •.M. Color •�'Wh.,M,irital'Statux ' .= �.��':a3V{azFle4d""'`.���`�'-;:'k�>. , . 4.. ;�, 'a. Y�e . . � � , . .write whetAer:marited'o'r'siagle � .. '. -. Primary cause'of death given ws�� Cong. hPart fa i l urp • - ��'�' • � , - � i = �`., � . . • . - � .' _ . . . , � . .. 1� �. . , . . ' ' _ ' . . ry __ , . . 3 Y . . .. - .. • . _ � ! • _ � Signed by'� �• �E. DYe., M.D. Oakland Citv`°" Ind. -,,_� 4::": �. _ . � :� .. '-phyaician oP �coroner . .. . ' . . "� - � . �`" ` ' address ` � �y,..':,tk' _ ' . _ .��--'{_ -- - — ' . . . . .. . _ � � - - - ' -',-':i:-:, . - Place of burial or iemoval - Forsythe �ak�and� Ci ty, Tr,�i . '� -:� � .. .. _ ... .,tiame of�. cemetery .: ' . . .. - , . addiess ' . �,i � i- ' . t , . � . , � �. l ,: •'- Date of. buriat 5�27/77 - Lamb Hed�es Funeral Home Oakland 'Citw .:'Ind.,.:. `, ." , •. . FSuieral D'uector . addrees ,,. : . ; ��;�z;. � .:�.' � � �. ���. • . � , . . : -. . . .l� s `" . . . . J:F . . 'Y�'a ' .. . • ` a � . . � � I /�� .,t . . , /�M' � t�'/"G.G/ , �� • � �/ � � �� - ,y�i' tui . . . . . . � .51$Il � ' - . � ' , `� . ' � . � Gibson Couaty Heslih Co sioaer�;�.: � � � - �� fa- . 'yf-'-. . . .. . . . . .. _ .. . . . .. . . � _",';:, ' oakland city, Inc�':-:9%6%?7. ` �, . `�f : _,;" -� � . . � .. . , �aa� , a�c� .. :;; . . . ,. , � Recorded locally in book No. H-52 page No. 3� F`;led: 5�26/77 �--t.' .'.' • _ ... f _ � . :.� , , . . _ , - . �+.. e, � a i p �—�--r�f�— � . . . .. . . y7� _ . . �. .�..!�}.'3..��alR�:t.�3�3f_'3m�i�aM14�.F_la�hi .:i� . ' .f•: . �..�t. �iz��.. 1 ._��'� �y?r_��.L'�Y�.�+6fr��Zf.i8.7r�ikurmi S.batx°z