Death Certificate - Deal, George Wilford Sr_6/15/1992�ECORD OFDEATH •
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G[BSO\ COU\Tl' DEPART\fE\T OF HEALTH
PRf\CF.TO\. 1\p(A\A
THIS [5 TO CERTIFI', that our records sho«� GEORGE WILFORD DEAL. SR. died
June 12> 1905 at 5:30 A.M. R.R.II 1.lohnson Indiana
monih da}' year hour o( death street, ho�pital. rural
Age at Death SO Ses Mal e Color whi ra il•larital Status Married
rears wri�e x�hether mamed or sin�le
Primarv cause of death riven �eas Coronary Occlusion, sudden. Suffered Heart Attack
Signed b} Glenn �. D1CIC0IISOII� D.O. (huPncvi 1 l o� Tn�ii ana
physician or comner address
Place of burial or removal Maumee R.R_ .Tohnann, Tnd; ana
name o( cemeten� eddress
Date of buria� June 14, 1965 Holder Funeral Home Owensville, Indiana
Funeral Director address
SEAL Signed � '�'ri7G'. ���
— Gibson Coumc Health Co is�ioner
Oakland Ci[y. Indiana May 15 1992
addre�s date
Recorded bcally in book No. H-50 Page \o_ 7'i Filed: T,ma 1 G, 19F,5
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