Death Certificate - Heacock, Jerald D_9/16/1993.-
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' -' G I B S O N C O U N T Y D E:P A R T M E N T
B00 S. Prince St.
Princeton, Indiana 47670
' 812-385-3831 ,
R E C O R D O F D E A T H
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O F H B A L T H
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I�EP 16 1993_ � ;:>;
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thet according to the records of the Gibson County Depar�ent of Aealth, � '
' � JERALD D. HEACOCK
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-'`..IJied on 12/14/1992 at 5:00 P.M. ,
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Oakland City IY 47660 �,
Age nt denth . 61 Years 9ez: M
° }Iarital 3tatus: Married Colar: White
'`'����'•Cause of death: .Acute Gastro Intestinal Hemmorrhage, Sudden Denth' �-�
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,�,,,�„ , `;. Chronic Lymphophatic Leukemie with Pencytopenin,_a:,. �
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-:- 3i�ed by: JacK 0. Williams, M.D.
. 421�Chestnut St
Evansville IN 47714
;-place of buriel Lyna�ille Cemetery
or removal:
Lynnville IN 47619
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Ftitneral home: Lamb-Besham Memorial Chapel
` 226 E. Washington `
' "� Oakland City IN 47660 _ _ __,r„�--__„ �-�--°'
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- --i .. - N _ Signed by `W ��l�'�.IW,�J
- '__ Gibson County Henith ommissioner
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Recorded locally in Sook No. 12
Oakland Citv, Indiana 12/22/92
Address Date
Page No. SS Filed: 12/22/1992
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