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Death Certificate - Carithers, Ralph M_3/12/1980
' � ' _-�_-� � RCCOItll OF DEATH ; • • � � ! GIBSON COUNTY DEPART�IENT OF HEALTH � r YRINC�TON, INDIANA � � RAI,PH M. CARITi�3RS } I TIIIS iS TO Ch;ItTIFY� tllA� OUC 1'CCOIY�9 `3IlOW ����� � ' 8/27/i9 nt 11�40AM 110 E. Pine Princeton, Ind _ � month dny yenr hour of death etrect, honpttal, rur¢1 � Agc at Death 80Sex M' Color wh Marital Statue D9arried _ : y�� write whether morried or aingle � '� Primary cause of death given was S4�mous cell carcinoma of face , .� i Bruce C.` Brin{c,BC Princ�ton, _T-nd. -� � Signed by- -- ------ � phyetcinn or coroncr ndd�r.ne � Pl:�cu of bw•ixl or removnl__ I.O.O.F. Yri�nceton, Ind. n¢me ot cemetery nddn�sa .�" � 8/30/�9 Colvin Princeton, ;Ind. `�= . � Date of burial 1 ' FLnernl Dicector nddrese`' _ ' + . ,�'- y '_r .' � ' nf k: � , • � ' � • l,)�l.✓i'CCr. �, �Gcs- - `` �il/ I�; E SEAL 3i8ne� • - : � Gibson County.Health Commiasioncr;'.- F � i Oakland City,-Ind. ,11/30/i9 ' S � oddress ^'�' � a datu � I � 9 88 F;led: 9�10/79 _ � Recorded locAlly in book No._ page No. -- --�.....,,.—^----•-- — • •-- --- - - : — . • --_•--. . - ' . - r _ _ _ti '. .' . ; ' . :'. : ' ,� .,, _ . ' . . ' � :�. � " .` r , �� , , . ��: . � . � . � �,i ' ' . _ � � • � - „: . : . . • , ' -;ry ! .� . z . � � . . . ., . -� . . .. . . . . . . • : � , _ .�;