Death Certificate - Phillips, Cora Wheeler_11/28/1975RECORD OF DEATH
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GIBSO\T COU�ITY' DEPARTJIE\T OF HE3LTH
PRIVCETO\`,IVDIAVA _
`I'F13 IS TO CER1'IFY, thai our records show CO�A ':J�'�L'�? PUZLLIPS
:r3`; 17 � 1 971 yt7 : S�A1 G ib. Gen. Eosp. Pri ncP`�n �n:i .
c�cni:n� day - yeaz � houi of death siree:,' hospitai, rursi ��
�1ge 2t Death 73 Sex Fe!rale Color White Alarital Status 1di�io�a?�i
yeais � write whether married or single
Primaz•y cause of death given wac t�?etastatic carcinofia of' liv=r
ienelby a l'. ar±�'�_D C� kt'�^s3yr��, ?:�d. }-
physician or coroner � address
Plzce of burial or removal Patoka Pat.�tra, Tn�i.
� name of cemetery address � � .
Date o� burial 5/19/71 uan�all Fti�r�ral Re^g ������—r,�4.
Funerel Director - address -
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Signed--_ ��
Gibson Counh� Heaitn Co .i;sionzr
Caklan�? Citc. Tr�, 1 i_._�?T_/?.-
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Rewrdca�iocalt} �in book \To.� 1'aae No._ Q;__Filed:
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61BiON COU�TY ABSTRACT G TITLE COMPANY - PRINCFTCN, IVDUNA
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