Death Certificate - Goerlitz, Ferdinand John_4/11/1983uF:c;oizu or nFn•rH
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'i . �ii IS TO CI:R'PIFY
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G11:SON COUN'CY DIsPAR'1',11LNT OF HI.ALTH
PHINCGTON, 7NDIANA '
that our records show �ERDSNI�ND I01ip1..�0EgL,TT7 died
1/10/83 1t 12:15AM 7zz__Williams._S.�_- n
�nonth ilay ycnr hour o( denth ak,Lanei.�..�t�_,_3nq
� , street, hu;:pitnl, rurnl
Aoe at Death 89 Sex Male Co1or white nq1ri},al Status
yeare write whether mnred or si�
Primary cause of death given was_ Coronary Thrombosis
Si��ned b,v Huward N. RoPp, D.O. Oakland �,V • Tn
phyaician or coroner nddrevs
P1.�ce of bw�ial or remocal MontgOmerv Oakland ity�Inci..
name .of cemetery ' addrexe �
D�of burial 1/12/83 Corn Mortuary Oakland __
Funeral Director --�'��-�—Ind_
nddrese
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SEAL Si ned ' �
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. f:ibaon County Health Commissioner
Oakland Cit
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Rec.ordc�i locally in book No. t� Page No. 83 F'iled:
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Ind. 1/17/83
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