Death Certificate - Offil, Richard Harold_12/1/2003.._ ___
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GIBSO�OUNTY DEPARTMENT OFS ALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CSRTIPY
that according to the records of the Gibson County Departmeat of Health,
RICHARD g}�gOLD OFFIL
Died oa il/21/2003 at 3:12 AM
Good Samaritan Nursing Home
210 Gibson
Oakland City IN 47660
Age dt death . 72 yea25
Marital Status: Married
Sex: M
Color; White
Cause of death: Metastatic Cancer (presumed Colon) 3 Months.
CVA, Tobacco Abuse, HPN.
Signed by: Terry Gehlhausen, DO
Hwy 64 WeSt
Oakland City IN 47660
Place of burial Augusta Cemetery
or removal:
Augusta IN
Date of burial: 11/23/2003
Funeral home:
S E A L
i,amb-Basham Memorial Chapel
226 E. Washington
Odkland City IN 47660.
Signed by ,�� G. ii,�"`.'�'� �{�
Gibson County xealth Commissioner
Princeton, Indiana 11/24/03
Address Date
Recorded locally in Book No. 14 Page No. 76 Filed: 11/24/2003
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