Death Certificate - Drew, Clarence_5/5/2003�
RECORD OF DEATH
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GIBSON COUNTY DEPARTMENT OF HEALTH
PRIVCETON, INDIA\A
THIS IS TO CERTIFY, that our records show CLARENCE DRES9 died
Auq. 2, 1984 at 8:25 P. M. 323 Elm St. Oakland City, Tn.
month day year hour of death sveet, hospital, rural
Age at Death 65 Sex Male Color Wh i tP ivtarital Sta[us Marri a�3
years w�rite whether married or single
Primary cause o[death given was Arteriosclerot� Heart D� G a ( v )
Diabetes Mellitus
Signed
Place of burial or
H. A. Peters, D. O.
physician or coroner
emoval Walnut Hill
name o( cemetery
Oakland City, In.
eddress
Petersburg, In.
Dateofburial August 6, 1984 Lamb Hedges &:Basham Mem. Chpl. Oakland Citv,In
' Funeral D'vector address
SEAL Signed `"° `���a`r• �'��
Gibson County Health Com ssioner
Oakland City, Zn. March 24, 1987
address date
Recordedlocallyinbooktio. 10 PageNo. 127 Filed: august 9, 1984
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