Death Certificate - Lucas, Raymond V_4/13/1996� �
_-_ GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
- .T'•y p_q^Co_O*�� T^C1d^2 ?7570
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THZS IS TO CERTZFY
that according to L:a raco.-3s c� t`.� Gibsc: Cc:ia�v. ^e_a��eat:bf Health,
- --_ - RA°:SC:ID V. L*JC.'�S , _
':Died on 04/O1/1996 at 10:55pm
- Residence
-"-- RR � 2, Box 69B
- - - � Ft. Branch IN 47648
�;� Age at death . 79 Years Sex: M
Marital Status: Married Color: White
Cause of death:
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Asniration Pneumonia (days),
Cerebro Vascular Accident (years),
Atherosclerotic Vascular Disease (years),
Congestive Aeart Failure, Malnitrition, Dementice
Signed by: Pate1, Rashem, M.D.
105 N. 2nd Ave.
Princeton IN 47670
Place of.burial. Walnut Hill Cemetery
- or removale:
Ft. Branch ZN 47648
Date of burial: 04/04/1996
:Funeral home: Re*da11 Fu�era� �:ome
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520 S. *�ain St.
Princeton IN 47670
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• Signed by i
Gibson County i?ealth Commissioner
Oa'.rla^c C_�v, I::dianz 04/OS/96
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Recorded locally in Book No. 13 Page No. S Fi1ed: 04/08/i996