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Death Certificate - Newkirk, Ralph W_10/31/1984RECORD OF DEATH � i
GIBSOAT COUA"I'P DEPARTMENT OF HEALTH
PRiA'CETON, INDIANA
THIS IS TO CERTIFY, that our i•ecords show �LPH W. NES4KIRK
10-5-84 at 12:35AM Gibson General Hospital, Princeton, IN
month day year houz of death street, hospital, rural
Age at Death 70 ge,� male Colo�T''hite nqarital Status married
years write �chether married or single
Primary cause of death given
metastasis
Adenocarcinoma of stomach with hepatic
Signed by W. R. Wells M.D. Princeton, IN
physician or comner address
Place of burial or removal i• 0.0. F. Cemetery Princeton, IN
name of cemeterp address
Dateofburia110-6-84 Colvin Funeral Home,Inc. Princeton, IN
F�neral Director address
sEar.
���� -�.�
s;�Pa
Gibson County Health Commissioner
Oakland City, IN 10-31-84
address date
Becorded locally in book No. 10 page No130 pq1ed;10-11-84
