Death Certificate - Burkhart, Raymond R_7/10/1992Doq-aao��
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G I B S O N C O U N T Y D E P AR T M E N T
S00 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O RD O F D E A T H
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O F H E A L T H
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THIS IS TO CERTIFY
that according to the records of the Gibsan County Department of Health,
RAYMOND R. BURICHART
Died on 06/18/1992 at 12:30 PM
Residence
R.R.;t 1
Hazleton IN 47640
Age at death . 85 Years Sex: M
ilarital Status: Married Color: White
Cause of death: Cancer Lung (left) 3+ Months
COPD
Signed by: William R. Wells, FID
510 N.Main St.
Princeton IN 47670
Place of burial I.O.O.F.
or removal:
Aa2leton IN
Date of burial
Funeral home
S E A L
06/21/1992
Colvin Funeral Home, Inc.
425 V. Main St.
Princeton IN 47670
Signed by {�/(�r,iry�,�g,A,�
Gibson County Health ommissioner
Oakland City, Indiana 06/26/92
Address Date
Recorded locall�� in Book No. 12 Page No. 41 Fi1ed: 06/26/1992