Death Certificate - Corn, Bradford_5/27/1986I?ECORD OP DEATH
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GIBSO\' COUNTY DEPART\IENT OF HEALTH
. PRItiCETON,INDIANA
THIS 1S TO CERTIFY', that.our records show BRADF9�3D CORN died
?�Iay 15, 1986 a{ 5•a5 P M [Virth Osteopathic Hospital Oakland City, In.
month day Sear hour of death street, hospital, rural
elge at Deatli 62 Sex rlale Color��hite �farital Status rlarried
write �chether married or aingle
years
Pi•imary cause of death given was Pneumonia (10 davs) Diabetes- Arteriosclertic
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H.A. Peters D.O. Oakland Citv, In.
�igned b}' address
phy-sician or coroner
6lontqomer Oakland Citv, In•
Place of burial or remo�•a� Y address
name of cemetcry -
Date of
,°iliAL
18, 1986 Lamb Hedaes & Basham f•lem. Chol. 0akland City, In.
fLneral Director address
Sign �ii.�C/ _ G� �F6.��%
Gibson County Health C, miss�oner
Oakland City, In. hlay 22, 1986
address
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* 11 Pa e tio. 12 Filed: hlav 22� 1�6
Recorded locall}• in book no. g
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