Death Certificate - Bugher, Malcolm_8/14/2007GIBSON�'JUNTY DEPARTMEN'�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
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Died on Ol/27/2000 at 4:15PM
Residence
R.R.# 1 Box 99
Owensville ZN
Age at death . 78 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Metastatic Gastric Cancer, 6 months
Signed by: Edward Fox, M.D.
801 St. Mary's Drive
Evansville IN 47714
Place of burial S.W. Ind. Regional Crematory
or removal:
Dale IN
Date of burial:
Funeral home:
S E A L
O1/29/2000
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
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Signed by ���.�� �. �
Gibson County Health Commissioner
Princeton, Indiana O1/28/00
Address Date
Recorded locally in Book No. 13 Page No. 110 Filed: Ol/28/2000