Death Certificate - Barrett, Thomas Roy_7/24/1975� ..
RECORD OF DEATH ��
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GIBSON COUNTY DEPART�fENT OF HE�ILTH
PRINCETON, INDIANa
'I`HIS IS TO CERTIFY, that our records sl�o�a THOMAS ROY 99RRETT died
Sept
month
7 � 1965 at 4nt,
day }•eaz hour of death
Ft. 3ranch, Ind.
street, nospital, rurel
�1ge at Death E5 Sex ��le Color Whlte ��farital Status �'arr+o�
years write �chether married or single
Primary cause of death given wac N1VOCaT�dial infsret.inn
Signedby A• G. Geick, 14.D. Ft. 9r�nch, Ird.
physician or coroner address
Place of burial or removal Walnut H111 Ft. 3ranch, Ind.
name of cemeter}• address �
Date of burial 9/9/66 Iaib Funeral home Ft. Branch, In�l .
Ftiu�eral Director address
SEAL
�4'���EL� "w"' _ _ � �p ' �
Gibson County Health Commissioner
Princeton, Ind. ��24/7$
address date
Recorded locally in book \TO. �-5� Page No. 9� Filed: 12/8/66