Death Certificate - Hicks, Elmer_4/28/1979li
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RECORD OF DEATH
GIBSON COUNTY DEPARTM�NT OF HEALTH
_ PRINCETON, INDIANA
THIS IS TO CERTIFY, that our records ahow �THRYN IMOGENE HICKS
died
2/10/79 pt 3t3oA1K Marion Hgts. RR /#1 Oakland City, Ind.
month day year hour of death etreet, hoapital, rural
�ge at Death 74 Cex Fe . Color HIll • Maritnl Status ` Married
Y�°� ' - write whether married or eingle
Prim:iry cnuse ot denth given wna Acute coron�ry thrombosis
Signed by Howard N. Ropp, D.O. Oakland City, Ind. �
� physician or coroner nddreea '
Place of burial or remova� Montgomery Oakland City, Ind. 1
name ot ceme[cry address ' �
'i -� Date of buriat 2�13/79 Corn Mortuary Oakland City, Ind.
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�� FSineral Direetor . addmsa �
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� � (/I/ ��// �v"%ZC G-. ���! �.�i
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' j SEAL Signed �/!�
3,. j Gibson County Health Commissioner '
'� .� Oakland Clty, Ind. 2/27/79
, � � eaare� a8c�
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�' Recorded locally in book No H-52 page No- 5i flled:�20�79
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