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Death Certificate - Patton, Inman Leslie_12/12/1975� - � .'/ �... . . _ . ;• ' _ " - � -. .' :•'.- " - . - . .� - . RECORD OF DEATIi - - " - - . 3— GIBSON COliNTY DEPARTM�NT OF HEALTA - � � � � ' '- - �_ PRIA'CETON, I\DIANA ' � - � � - _� . �'� .- . . - � - . . . THIS IS TO CERTIFY, that our records sho«• IATMAN LESLIE PATTON died if. - _ . r_ Sept. 28, 1975 at 1�AM FtA #3 Owensville, Ind. ��.'r� month � day year hour of death - street, hospital, rurai � � 69 Male White � Married Aga at Death Sex Color �1larital Status I` yeare .- - � write whether married or single IPrimary cause of death given waa CoTOnaTy oCClusiOn, instant 1.� , -. - .' _ ' . - . ,_. . Sibniedby ' Glenn 0. Dlckenson,-"D.Q. Owenaville; 7nA. ( _._�f___ _ _ phl'sician or coroner address ' � ' . '` . ( . -_:.:..m�:� ,_ F::n.,e. - - � - - - .' ' .. •�i�i:l� . Place of burial or remocal Owensvllle ' Oweney111e� Ind.- , ' _ name of cemetery addreas � D`�"� ! 10/1/75 Holder Funerai Rn Owenaville. Ind. Date of buiial pp . � - - " , � Funerai Director � address `,/G _ _ Lt� G��;2� � �� < �.o _ SEAL . , ' Signed _ _ � � _ Gibson County Health Commissioner _, Oakland City, Ind. 10/1/�5 � � , addreas �� date �._ RecorQed locally in book No. A-52 page No. 10 Filed: 10/1/75 �'a - _ - . - � - . _ ,_ _ I`" . - _ _ : � : _ _ _ _ - _ • . '-- - _ _ _ � � � •• _ --- '- �i � � - �. . - . . . . . . . � . �� -. _- _ ' , . .-. � . � � �� .- . _ - . . � - , - ` . • • �� • ' h � _ . . " - . '. - - . �l .-/2 ' ".�}i�.:... /I - ... _ . . .. � - _ .