Death Certificate - Luttrell, Homer_1/4/1978;.-: __ _...
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RECORD OF DEATH
GIBSON�COUNTI DEPART�iP\TT OF HEALTI3
� � .. PAI\'CETON, INDIANa
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-� THIS IS TO CEATIFY, that our records show`HOMER I,UTTRELL d��
.12-5-77 at�,7:20PM. Wirth Osteopathic Hosp.,0akland CitY,Ind.
�� month day year hour of death ..- - . street, hospital, rural �
:Age at Death 73 Se�ale , Color�yhite Diarital Statusmarried -
- Sears ' � . write e-hether married or single
Primary cause of death given �r•as Carcinoma of 1
Signed byHenry A. Pe :ers D.O. Oakland City, Ind.
• phpsician or corone: � � . . . address
Place of burial or remocal Augusta '' _ Augusta, Ind.
� name of:cemetery' . , address
�. Date of buriai12-8-77 Kendalrl Funeral- Home Princeton, Ind.
- F4meral':Director - . - address
SEAL
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Signed ' � J
Gibson County Health Commissioner
Oakland City,--Ind. 12-12-77
address date
Record'ed-locally�in liool: N�-S�� ' —Page I�TO36�-- - F'iled;l2-9.--77-.. ,.
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