Death Certificate - Osborne, Riley F_8/28/1979� KKCOI:U 01' 1)E:\1'll • �
� G11iSUN CUUN'CY llL:PAI{7'\IL:N'C Or' 111?Al:l'll
� Y121NCETOY, ��ut,�v.a
, RILEY F. OSBORNE
TIi1S IS TO CL•'R'I'1FY, that our recurds shoµ�---- --------- ---died
Oct. 12, �975 11�1rjAM Wirth Memorlal Hosp. OaklandClty,Ind.
—at —
month dny Yeaz hour of death sveet, hospital, rural
Agc at Death al—Seu Male �o��,•_ White _nqarit:�l Slatus Wldowed
yeare write whether married or uinglc
Primary cause of death given was Getler=112=d_a2�terloscleroffiSs
S�fi„��� �y Henry A. Peters, DO _ Oakland �li}�._Ind• —
phyaicinn or coroner uddresa
Place of bcrial or removal—_— MontROmery __ Oaklan�i_ Clty�_i�, _
na:ne of cemetery uddrcsa
Date of burial_-1II�� � �mb-Hedges Memotls]—Cha�e1—Daklan�City.,�n�r.
n�ral Director address
SF.AL
�
C�G ��.,,G ��. �,��,�
�- .,..� /�
Signed- --- - ---------- --(�--------�
Gibann County Henith Commiscimi_r
Oakland City, Ind. 10/15/7.�_
naa�8a aaw
Recm•.led locully in lwuk No._ A�2 r�,n, rro.__io�rii��i:__.iD�i-S�--� --
,
_ .
- �_�....:d1