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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 __j" " . .. ,1- ! 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