Death Certificate - Collins, Willie_9/1/1993RECORD OF DEATH �
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GIBSO\ COGNTti' DEPARTA4E\T OF HEALTH
P R I.\"C F:TO \. I\ DIA \:\
THIS IS TO CF.RTIFti', that our records
momh da�� ve:v houro(dea�h
A�e at Death 67 See Mal e Color Whi te �4arital�
cear>
.veet. hospi�al. rural
r ' 7 ! 4
e i 1 j';
���' 11993
x�rite x�hether married or sin�le
Primary cause of death �iven �rac Massive Myocardial Infarction , 14 weeks
. .
Signedb}� William F._ D�e, M.iS. � Oakland City. Indiana
phy�ician or comner addre?�
Place of burial or removaLMantgomer� Oakland City, Indiana
name of ceme�en� addre��
Dateofburial March 11, 1959 Corn and Reed Oakland City, Indiana
Funeral Direeror addres=
SF,AL
Recorded bcalla in book \0 6
age No 266
Signed ����7G�. "i°7G•��
Gib=on Countc Health C misioner
Oakland City, Indiana
addre��
March 12, 1959
30, 1993
date