Death Certificate - Cordray, Glen A_9/12/1975�\ -
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RECORD OF DE:�'!
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GIBSON COUVTY DEPARTMENT OB HEALTH
�try. No. 134 PRiNCETON, iNDIANA
THIS IS TO CERTIFY, that our records show___ GLEN A. CGFiDkAY died
hov. 8 19i2
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,�,� � _ _ � . month '� daS � pear at hoyr of deat�—�� A etree�1t,�h�osp �n � 'a _
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Age at Death 4s? $ex '�`a��___��or_ uhtrA
Y�� w�rite uhether married or singl���e�
Primary cause of death given was- Vsn�r1n11iR=• �l�llla�1op
Signed by_ --gruce ?�}.,,�.,..�p� Pr_ inc��n. rn�,
physicisn or toroner ' address —
Place of burial or removal N.t. Mariah Cibson Co. � Ind.
name of cemetery � addmss
Date of
F�neral Direetor
SEAL
wunry nea�tn C;onvnis�oner
_- Pr1n .nt�n� T�7 7�1�
I� � . � addreas --����' �ate .
.iZe%•orcied .locall}• in book No. R page No._.—(�1 �led: - - — - - -- �