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Death Certificate - Butler, Russel Gilbert_10/3/1975; ,, . ; , , .. .. ..t..,� . � .. � . - .,. w- LOCAL'CERTIFIED•- �CITYa�iNTY.DEPARTMEN7'OE NEALTH -�- • `- �� &ECORD OF' DEATM' �. C,�� or eo.a.�u�—v.oa���e co�� - ��.,yT0 9135 °s'�. . . . � 'i .. Evmaville,ludiaua � . ' +�-O' , .. .�.�"� . ' ., � .. z - � ,�" ` ' "' . �RfTSSBL GILBERY.BtPPLBR _.: ^ fi '•�.: ,.-. . . . .. ,� ,.�. , .:Thirrs to Certify, that our rernrds show----------- - -----'-- -------- , ---- --- �-- �d�edjg . ... _ . . .. :., ._ . .. -. . : ._. - • •,, ;..SEPT. : 18. .. . . 19i5 :�'' ' . 4:00' F.M: .. -;�'' __ ,Deaconess '� _ � - . .. _. ... . �•. .. . . ... . . _.::`I ' ---'--=--=--------------=---=------- '�-=-'------------ --------== ==---------- ----- �p� . ..'.mmlh � ' dq ' � seir ' - haur of dwtE ' - � � �tr�et. 6aDi41' m%ev+d, '' ' . > � � � 60 : . . Male ' � Wh. " '.� , Married �.��. � . . ...:, A¢e st dnth-------- ��-------=-=:Color `_'---=----=------------=------- ---------`-`----- ---'---'t . �e�n � - � ari�e �AetM� m�rtiad or d�l�' _ ':- :' �` '.� ��' g• ' Crushed chest__with massive hemor�ha _es - lacetated ` i, ����•�Prima .caase of•deuh� �vrn wae----------- - - --- -- - -�--------------- '-----'` ' .I� ,-=-----=_-----=-= heart,lune, eF_].ePn _arri �.la•r•_=---------- _--•------ --- ----- -- � ti Sign4d by _H._T Combs --- Cit9-------- ------- ----- -" ---- ------------- ----- --- ,: � .�,a�' . DM�1'im6+ mraoer � ' � . . . �:. � �Wdr� [�'3e.:�, . " ' T : Llberty - Cynthiana, ind � �' Plaee of bunal or removal --------- -- ' � /� - . , � � � . o m. or c�.un ' ' _ � . . � '� �dd+� 1 � "'i 5 � i i . t 7 t � . .. . �'� � t �- �' �.E9 21�.75, werrp .. . ...: ---- Poaeyville� Ind-� . =, ''I Date'of bunal _ ___ _ ______ ___ ___� ___ . ' � /� , �j r,�„ � ni Q.�/p�� rr .ae� -� s . Zj- ` -~ ` (�I %I��C��� � IV i� �� 0� �"'�.^.f ' ' , _.'. :.,;.�. .;::S�gned - ----- �----� : - On---------------------- -----Regutrar. �; - ._ . . ., - . . .. . ... .:.. . . � = Evansiiille,-Yndicfna - _ --------'-'75--------. , - . 70 3 [sgrv.] ; . �...- . _ !. � .� � - -- . � �e.r:� . - . •.. r `' � . � �' ! . . , . _ . . . � � . . ,' � A'OTE::.R«orded laally�� Book �to: -:_-----4p---- Page No. --- -----:---a. `.� . ` . FEE SS.00 .- .. � , •