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Death Certificate - Bottoms, Virl E_3/22/2007__�`L.� - ,>» �. : _ _ _______ _ ___ -
� �
GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St. %
Princeton, Zndiana 47670 Qa U— � � D�O �U U
812-385-3831
RECORD OF DEATH �'�
�*�`
THIS IS SO CERTIFY
that according to the records of the Gibson County Depaztmeat oi Health,
VIRL E. BOTTOMS /
D:ed on OS/12/2003 a[ 9:28am
�esidezce
Airport Road
Somerville ZN 47683
Age a*_ death . 72 Yea:s Sex: M
riari[al Status: Married Color: White
Cause of death: Lung Cancer with arzin Metastasis (1 year),
Seizures, Tobzcco ALuse
'i
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Signed by: Terry Gehlhausen, UO ',� =• ,__ -�-
Hwy 6Y hest :!. ' , � �•
Oakland City IN 47660 t+'.'%��
�., i r'� 1 � ,�
elace of burial So:nervil?e Cem=tery , - j'
or re=eoval: � � .::t �!
Somer:ille Zri 57683 � �� � - � �"
Da[e of burial: OS/15/2003 �
Fu❑eral home: Corn-Colvin Funeral Home, Ir.c.
323 �:. Main Street
Oal:land City ZLI 47ti60
c c p L
�,.�:�- �" . j� , ��f/
Sigr.ed by
Glbson Countv H°-altn Cor�issi.oner
Princeton, sr.ciana OS/1E/n3
Acdr2s5 Date
Fcecorded locally in Booh No. 14 Page No. 63 File3: OS%1'/20.3