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Death Certificate - Goodwill, George R_7/7/1995GiBSc� COUNTY DEPARTMENT� HEALTH aoo s. ?:ince st. Princetoa, ?ndiana 47670 812-385-3831 RECORD OF DEATH THIS ZS TO CERTZFY that according to the records of the Gibson County Department oE Henith, GEORGE R. GOODWILL Died on 03/?6/1995 at Res_de::ce 710 Souch Franklin St. Oakland Citv IN Age at death . 75 Years Sex: M Marital Status: Widowed Color: Wh=*_e Cause of death: Congestive Hea:t Failure, Severe Cardiomyooathy Past History of Myocardial Infarction Signed by: Place of burial or removal: Date of burial: Funeral home: S E A J Hanesto K. Feno1, M.D. 611 Main St. Petersburg IN 47567 Augusta Cemetery Augusta IN 03/24/1995 Corn-Colvin Funeral Home. Inc. 323 N. Ma?n St=eet Oakland City IN 47660 e Signed by "v "r! �'� �^�''�''� G�bson County Hea1t: Commissioner Oakland Citv, ?ndiana 03/28/95 Aedress Da*_e Recorded !ocally in Book Nc. 12 ?age No. 1!2 Filed: 03/28/1995