Death Certificate - Hollis, Melvin_9/30/1992C�
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G I B S O N Ci G lJ 1V "1' Y L) F: }-' A.R'7' f"1 1_: !1J 7'
800 S. F'rinca St.
Prinre[��n. �.ncliana 47o7U
B1"1—:ib�-383i
RECORD OF D�:A1H
OF I-3�,ALTH
OII-�3��
1'HIS IS T'0 CERTIFY
that according to the records of the Gibson County Department of Health,
MELVIN HULLZS
Died on 09/16/1992 a� 3:10am
kesieence
RR ;, 1 , Bo� 2ti2.a
Ft. Branch ?� 47048
Age at death . 76 Years Sex: :`1
Harital Status: ?tarried Co)or: WLite
Cause of death: Prostate Cancer (`?etas'tasic) (1 year)
History or loion Cancer
Signed by: James M. Feilows, MD
We!born Clinic 421 Chestnut
Evansville IN 47713
Place of burial Holy Cross
or removal:
Ft. Branch ?� 47648
Date of burial
Funeral home:
S E A L
09/19/1992
Stodghil? 'rmieral Home
304 k'. Locust Srreet
=t. Branch IV 47648
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Si�ed by �✓ ° �
Gibson Councy Heaith �Commissioner
Oakland City. !ndiana 09 28 92
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Address Date
kec��r<lea lui�.�ilr in Book Vu. i"! !'z�tr ��u. =:� F'i!ed: U9/28/!992