Death Certificate - Harper, Dorr Lannis_8/17/1976, RECORD OF DEATH � `
GIBSON COUh'TY DEP�RTIIENT OF HEALTH
, � . ,� _ PRINCETON, INDIANA
� THIS IS TO CERTIFY, that our records sho�v DORR LANNIS AARFER died
a 8/9/1976 at 9PM Wirth Memorial Ecsp. Oakland Cit.y, Ind.
� , imonth day year hour of death � street, hospi[al, rural
Age at Death 93 Se4 Male Color id�.1�RSarital Status M��.7.i�.�j
� years � a-rite whether married or single
Primar�� cause of death given was �on¢estive heart failure
Signed by Henr,y A. P�t.�rs, nn Oakl�nd Ci�ty, Ind.
� ' ' ph}�sician or coroner , i� - . - , address
Place of burial or i•emotal 'r^O?'sVthe Oaklarn9 Citv. Ind.
� " name of cemetery • .address .
Date of burial 8�12�?6 Lamb Hedaes Me�aorial Chan?l Oakland Citv, TnA_
• Funeral Director address �
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, . . � [/�'�/ iG'`%'/ �i. �'-`� y < f�'-',G�'
/
SEAL �/
Signed
Gibson County Health Commissioner
Oakland City, Ind. 8/12/76
address date
P.ecorded locall}- in book ATo. H_5� Page No.-12—Filed:_- 8/1?/�6
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