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Death Certificate - Ross, Lillian B_2/4/1974�J � � RF'.CORII O1� D1::\791 t .., . . '� CIB�',ON �COliN'I'Y DI:PAItiI'V�IGN'I' OF I�lE,-�CCI�I ' P1ttVC1?'I'OV, I\p1:1\:l "CI�IIS 1S TO CI;R'CIFY. I:h:it uuc.recoi•da sho«�—_ L.TLLIA^; �cLL �O;S __ �Iiu�l Ja:�. .]o, io�1< <�� C,�O;Ai�i Good Sam�ritsn_drs;-._i�-�e OaklandCit;L, Stid. J. month da��'. }•car hour ot dcaYh siree:, hospi:al. rural �ge at Death 53 Sex r°mai ° Color_•`;hite \Iarical $tatus Na��leci ' � ycars � �eritc ���hethcr marricd ur singL; Primary cause of de:ith given �vas '�xoc�l-di31_f�il.ur_e ' Sioned hy- %�11�i� ��. nve_.—�''..�. —Oa,t�i=�r.�? ':i-�:t'-� rra_,_ ph}�sician or coroner addreSs� Plnce oF burial or remuv,il "'�r*L�O�rY � O�k1Z.nd Cj ty�, I�d , namc�oC cemetery .' address Date of burial ].�22�%�% Car�: i�io�tuary Oalrlanct Ci `y, ?�d. • ' Runur¢I Director � addre;s . . SE�L ., � �,,�� � ., :. s�fi�,�a '�l~�-;r:.;i.c�n.�ce�� Cibson County Ffcalth CnmmissiAncr —r'�'�.�° ttQ`?.�-1"+�. l.l?�J,�•�'�. address date P.ecordeil locally in book No. "-C1 Page Nn._Z=9Filed: ]./22/%<<