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Death Certificate - Garrett, Roger Keith_4/5/1995I, �: I I I "_ LOCAL CERTIFIED CITY-COUNTY DEPARTMENT OF HEALTH RECORD OF DEATH Cicq of Evauaville—Vmderburgh Caunp . i *; �', ' (�ry(� Evaa�ville, Indiam . . _ Ir • . " ��.7 1 1 � This'is to Certify, that our records show____.�QGF�jt_j{�I,T�L_GciBRETT_________________________ died ... ,- , OCT. • , ----24=--;,__1978 7:lOPM------------------- Deaconess --►.------=---- --- a�------------- ------------------- maneh �d+� " - fnr hour of dn[h �am4 ha�➢�ul m+vral Age ac dearh---39__ g�_Ma1e--- �l�ihite-------------------- --- Married ----- ------------- �u., __ _- -- - - .riu .e.'her marriad c. unal. __' " _ _ . Head injury and massive_internal injurie�_______ -Primary cause of death given was-------------------- ---- - . --, _ -- - - - - --=-------------- ---------5truck_b� loq--------------------- - ------- -. � - Signed by ---------� 3,�.� Q0.---------------------------- --CJ�ty_------ �� --------------- Ptace of burial or removal M��ee_ Cemeterv �______________ ___ OWensville, Znd. --------�-- ---- -------------- _ � _ name c: e�erm . _ _ � .ams . . _ 10-27-78 lder Funeral Home Owensville,Ihd•. Date of b ' ----- ---------=---------'-------------- - - --- ---------- - — - --- . Paomi niMwr - . . . ��' . . "'_ "' _ _' __'_ _ Signed --- �- 1-�C-`--��-"7""'--_� 1/__Registrar. � _ • � • - i� _ - 11-3-78 �� . Cse:,i.j Evans 11 , Indiana - - -----------;�q --------- � ai _ • NOTE: Recorded locally in Book No. Page No. FEE $2.00