Death Certificate - Bottoms, Virl E_5/21/2003GIBS�OUNTY DEPARTMENT �EALTH
80o s. Prince st. � G� O/� -�
Princeton, Indiana 47670 �� -
812-385-3831 ^�/_O�/IQ.Dv
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RECORD OF DEATH �� ��S
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THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
VIRL E. BOTTOMS
Died oa OS/12/2003 at 9:28am
Residence
Airport Road
Somerville IN 47683
Age at death . 72 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Lung Cancer with Brain Metastasis (1 year),
Seizures, Tobacco Abuse
Sigaed by: Terry Gehlhausen, DO
Hwy 64 West
Oakland City IN 47660
Place of burial Somerville Cemetery
or removal:
Somerville ZN 47683
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Date of burial: OS/15/2003
Funeral home: Corn-COlvin Funeral Home, Inc.
S E A L
323 N. Main Street
Oakland City IN 47660
Signed by � � �/����
Gibson County Health Commissioner
Princeton, Indiana OS/16/03
Address Date
Recorded locally in Book No. 14 Page No. 63 Filed: OS/16/2003
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