Death Certificate - Farris, William_10/1/1982JIlL?t!^!S +•�
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RF' ,ORD OF DE:1TA �;d>;,� �1, ,�;, e...,u .:..�
—� G713SON COUNTY ])EPARTMENT OP' HEALTH
YR[NCF'CON, iNDIANA �
THIS IS TO CERTIFY, that our records show— WILLIAM FARRIS _died
1/2�_ 1t 3:OOAM _ P.O. Box 285 Somerville, Ind. _
month dny yenr hour uf denth street, hospital, nira!
Age at Death 72 —Sea �ale Color. ��hite Marital Status_ "�•
yca�s writc whether man•ied ur singla
Primary cause of death given was— Pneumoconosis, _ acute
Signed by H. A. Peters. DO Oakland City, Ind.
phyeician or coroner uJdress
F� of burial or
Somervi.tle, Ind.
nume u[ cemetery n�dress
Date of burial 1/�'/82 ' Corn Mor'tuary _ Oakland City, Ind. __
Funeral Director aJdrese
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l:ecerded lo,�all}� ir, Ix�ok \n.._
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Signed — ---.--
� Gibson Countp Health Commis oner�
Oakland City, Ind. 1/19,�3�
wldress
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