Death Certificate - Corn, Ralph H_9/10/1992�,, �.; ,... '4 .� �
G= B S O N-. ' C O LJ N T Y 1� t: .I? A?=Z S' i`1.i-; iV '1'
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THIS IS 1'0 CER7'IFY
that according to the records oY the Gioson County Department of }iealCh,
RAI,PH H. COlti:
Died on 08/27/i992 ac 11:OOP"(
Residence
➢o� 332
Somerviile IN 47683
Age at deatn . 71 Y'ears
Marital Status: �tiarried
Sex: `I
Color: ivhite
Cause of deatn: kesuirator�; Fai.lure, i cia_��. `Ictasi:aCic Lun� Cancer.0 w��els
Yrosi:ate rancer.
Signed by: Jaroes Jenison
3�0 k'. Goiur��ia St.
Evansvi ll e IN 47710
Place of buri.al Tbwnsle�- Cemecery
or removai:
Mackey 1\� 476�4
llate of bw-ial: 08/31/1992
Funeral home: Lamb-Basham ?iemorial Chapel
S E A L
226 E. Washington
Oakland Citv IN 47660
Signed by __ ?N!!f����1 �/'._ ��"�
Gibson County Health mmissioner
Oakland City, lndiana 09 03 92
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Address llate
Recorded locall}� in Book tio. 12 Page �o. 45 Filed: 09/U3/1992
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