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Death Certificate - McDowell, Ralph Willis_11/7/1977
� ��-, . � a .Y " . � �f _.. y_ .._ � � / � �, ' JACKSON COUNTI'�I,iLALTH ll�PART1-IEl\TT Jackso�'Gd�nty Hospital t! l SeymO��•, Incliana Ccr�itic.ite of llcath TH15 1S TO Cllt"1'1F1', t6at uur i.ccurdi shutc: . �,., ... .: .. . , - ,., Ralph Willis McDOwe1T � � � ' � � � _ \:i��i�� .......... ......................................................................... � � �. .,. ... _ . . died....October 28, 1977 . 12•30 A.Pi.� . 2 mile S.E. of Brownstown,..Indiana ..............ry ............. ..............,...... .�t .......:........................ at ...................................... ...... .. ... .............. mau:S . d.y ���+r hour �trcet. hos�dtnl or mral OII Highway 25� .. � � � ' / � • . ' • ' , � , hlarried :1�cat dPath 57 ._..... Jc� �...yale.........Gulur.....White .................................................................................................. . � _ ........ 3'cam m�n�icd. nin6le or other Internal hemorrhage --- Severed aortic artery and lacerated � ' Prim:u��• cause o[ death gice�� �a:u ............................................................._....................._.......................................................... .. liver --- Truck hit light pole and steering wheel crushed chest and abdomen --- Accident Certified U}. William. L,,.. Seyers.,...Coron.@r .......................................Se.YmouX.....i71d.1.dRd......................... ............... . ... , Ph>'sician " � dddress Y!:ice ol bwial ur rcuw�al .......MOntgomery Cemetery ;.......0akland City,. Indiana .. ).........:....... . . . � Ccmctery' � . . ' � -I AdJrcas . ' . . . . . , . 1 . .. . .October 31, 1977• Corn blortuary,. Inc. Oakland City, Indiana l)aie of buri:i] ........ ............. ...................................................... ..................................................................... Funcrn! Oirerto• ... Addrees � ' ___ _ ' \ � . - - � �NOVember 1. . 1977 . >' � ' • .r . . ,. - . - - ' � � ............. . _ .: _ , , : ..... I��ui% Vo. XIV... ���a� �'�. " Rccord i� �s filcd ... ...... .. �. .. ..... , .... .. . ..... . .... _ .. �l�6lC) \,...../'/� V�lV ..:.'..1. YI.I . ` � , . SEAL � � . . .. �' . � .�.Lor �I llcalth Officer � . � � ' . �.. ' . . ' .. . �yr� . . �� � �-. ';� � . . ' , �. . - . .',. , ". � I,sucil on November 1�.:......:.19�.�..:..:...., ' `.�...- 7;