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Death Certificate - Ruckman, Maurice E_2/28/1977,� _ i ` � �__� r � r� : .r 'i��� ; ! � }� �., ..i . _ _.� , �. ( ..'a�.�..��� �il —� � ':�i ..��#•, _ . . . i�i _' ,..,'!.. .. �i ..lt ..�II '' i � ;' � _. 1: � � �. ' '_.�, ' . - •; � ; _.,: .y . � �:LOCAL CERTIFIED;r ,'�-CITY�COUNTY� DEPARTMENT, 0F HEAL �ji, �t l � r i !+-= ! !�f �`RECORD'OF ,DEATH' � � l- C�ty�'of Evauav�lie— Vanderburg6 Coonry; i,i_�� pi - ' `� 1 �� � ..i .� � ..1 ,i �:�'{ . ,�� .Evaneville �Indiani.�� i i I ,.� � 1 �.�!,�=��r� ';i ' I i �� i ��rl i 1 i ' �# .V.1 "1 1' j, il;l. i� -�1 I �il �t - •" ' � '�'; ' c' _� � i� � MAURICE E � RUCKNfAN.� 1 ` — ,� �—'r �l .l',: ;•Thi's is'to Certify; that ourreto�ds show ' __ L„�d�ed ,• � , � •' - , � _ , ----'-P-----------,------ --��- �,,+ FEB 20 1977I ' 9 00 P M' �� Welborn Ba tist 1� ' •I � � montL - 1 I.d.� '•!__'nr _ ' 2t6oar ot datL �i � � .�1 : il'�treet� haiD�til m�ivJ���' : �.-{ ' � • 54'. ' Ma1e ' .Wli l - �Married• � + - �'. :''� . . - . � . ; , . r, : • , � �.�Agest;death ------ $eY =`—'-` Color . •. .:_ � Y �.'•�. • ,. - -- -------- :,;i t � - i�_ - . .i '� : � '.1� >ean . - • .,� .' _'�_��write�vhetEer married m nn[7<•� i �i I� � . ..1 ' . - l. : :, ' •� �: ' : . I . � � . �'.Pr�mary cau;e of death g�ven.was_ ACUf2_I�010b'135t1C 1'eukemia '_±chronic ____ � � � }1.. :_:_ _:, . . . _.... :.;. :myelocenous, leukemia � •.;,: „i' ,. � . `- --- -- -- - ` _ ;+� :_ , . , - � , ,i . :i .,�, �� , ��,S�gned b9;_ J__ O� W11T�ams � - -�-- ------ --{ : � — -----------_ - ---- --,- - - City ` ' ; . ; ' � Dtin� n m �{ . I . - .. �ddrs . • ';,'; � ;•,� White Church Princeton, Ind t i : �: Place of burial or removal .------- ----------------5- '--_ ' ':---- -- --- ------ . . �:�. . . . . , .. . _ "o�me of c6meteri . • � •�•�dd*d� • • . . . . . . .'. . . ' • • ' • ' � 2-24-77' -: Colviri '. .' ' ., Princeton, � Ind �` ' : t . •.Date.�of burial � ' =- -' - - --- ------- -------- - -- '- --- - , � , 'i '. �•i• � Flvnml Direetar : I � �i. '�� � �ddrm ��I ' .r� . ' ..� . � � Ii • . . .. :� :1 � .�. � "1 ; '� S�gned . '- - -- � ---- -SC `�L �Jl �--- Regi'stcii ;,. ��. , . �i � . ` Evansville, Indiana . , ; � � i 2 Z$ �?% '__ '1' � �'� [�EA L! ._ (..♦, I„ s. . ,. . . . - .;. . . � . . " �a u � . . . . • 1'_ ,� .l' : �� \_OTE: �Recorded t'ocally m. Bool \�. _--_ 42 __- Page No 36 _ :�. � � ' FEE $2;00 �� i�, ;; . •i , .. . : " . � ..' ! i. •,-i1- ��� , _ . . . . , . . ,•� � . ,�. " , _