Death Certificate - McGillem, Verner Ryans_6/6/1991�'
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RECORD OF DEA1'FI
GIBSON COUN'1'Y DGPARTMENT OF HEALTH ��iy.�,+o-�
PItINCF.'I'ON, INUTANA
C���'`'°` �.
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THIS IS TO CGR'17FY, that our records show Verner Ryans"MGCi 1]•Pm died
Februarv 16 ,199pt il • 30 A M R R# 2 Br x'i00 Oakl anrl r; tv rn
monlh dey ycar hour of dwth atrecl, hoepitel, rurol
Ago et Death 6A Sex Mal a Color wh i f-a Meritnl StoWs naarri aA
yeore write whether morricd or eingle
Primary ceuse of death given wes A u Myo ardial Tnfarc�inn_( S nt; n)
Arterial Vascular Disease ( 5 years)
Signed by Wi 1 1 i am F. _ ��_e.,�1.�
phynicinn or coroncr ed reee
Place of burial or removal �7 r�,;_ Glezen In.
neme of cemetcry eddreee �
February 19, 1990 Corn Mortuary Oakland City, In.
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Date of
F'unerel Uirector
SEAL
eddrese
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f � � ?,'E
JUN 6 1991
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Signed �/fl�Y�l�/"�!<�^. '`k"�'� AUDITOR
Cibaon County Heellh Co ieeioner
Oakl anfl C'i Y� T Fa}irnara. 9(���
oddreee � dnte
Recorded locelly in book No 11 Pege No. 110 Filed: FebruarY 26 1990
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