Death Certificate - Ferguson, Hancel_8/18/2004�
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G=BSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
. 812-385-3831
RE C O RD O F D E A T H
THIS IS TO CERTIFY
that according to the records of the Gibson County Departaent of Health,
HANCEL FSRGUSON
Died on 09/10/1993 at 7:25em
Good Samaritan Nursing Home
210 Gibson
Oakland City IN 47660
Age at death . 81 Years
Marital Status: Married
Sea: M
Color: White
Cause of death: Acute Right Congestive Heart Failure (hours),
Chronic Obstructive Pulmonary Disease (years),
Arteriosclerocic riearc inc.jConge�tive h�a� Fei:::re (yrs;,
Coal Workers Pneumoconiosis (years)
Signed by: Howard Ropp, DO
128 S. riain Street
Oakland City IN 47660
Place of burial Blackfoot Cemetery
or removal:
Coe IN
Date of burial: 09/13/1993
F�meral home
S E A L
Lam�Basham Memorial Chapel
225 E. Was:.�ng'tcn
Oakland City IN 4766U
Signed by t��i.��/4'���r< �•�.� .
Gibson County HealttL. ommissioner
Oakland Citv, Indiana 09/21/93
Address Date
Recorded locally in Book No. 12 Page No. 74 Filed: 09/21/1993