Death Certificate - Ferguson, Virgil M_4/30/1976.'�{'T^''- �
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RECORD OF DEATH
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GIBSON COUNTY DEPART\IENT'OF HEALTH
PRINCETON, INDIANA
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VZRGZL' N. - FERGLSON d��
THIS IS TO CERTIFY, that our records show -
5/31/75 at 10i�3FN Gib.•Gen.Hos�. Princeton In�i.
hour of death �� street, hospital; rural _:
month dav >� *'arried
Age at Death g2 Se Ma °' Color�+ihi ta \Sarital Statu� ,.,�� whether married�ur e�nsle
years
Primary cause of death given was—
Carcinom-- of re�to-i�moi� �^�on
t�+�a. 'Il NiCC;3�; ,•� — � address
5��� by • physcian or�coroner
T.C.C.F. L..{motnn.-Tnf].
Place of burial or remov^�.!--�— address
name of cemetery
Date of bui
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` SEAL
Colvi
F�neral-Director
address
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S��e� Gibson County H�.alth Com ' sioner ..
Oaklan�l City, .In�. 4/30/i6
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address
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9 iled: 6/ -`'/9 5
gecorded locally in book No. �age No.— 9� .
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