Death Certificate - McDowell, Thomas A_5/6/1981.$
RECORD OF DEATH � ��� ��
GIBSON COUNTY DEPARTn1GNT OI' HEALTH
' PRIA'CETON, IA'DIANA
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THIS IS TO CERTIFY, that our records show�mH0A2AS A McD�WET.L di,ed
2/$/81 �t 1:20AN Gib. Gen.Hosp. Pry��ton, T�d.
month day yeur hour of death streei, hospital, rural
Age at Death �59 Se� M• Color Wh. MH17G11 St8t11a M-
Years ,' write whether m¢rried or single
Primary cause of death given was Ventricilar tachycardia asystole _
Signed by �• R. Wells, MD Princeton, Ind. _
phyeician or coroner addreae
Place of burial or removal�„_.+.+�±a�m�3� OaklandCitV, Ind. _
mme of cemetery _ _ addreea
Date of burial 2�8�81 Lamb-Hedges Oakland City, Ind.
F�neral Directox address
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SEAL Signed _
Gibson County Health Commiasioner
Oakland Citv. Ind. ?/�/fi� __
6Ed1'!8B �In W
Recorded locally in book No. t 0 page No. ?l �led: �6�81 _
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