Death Certificate - Riddle, Roxie_6/9/1999♦ � i
POSEY COUNTY HEALTH DEPARTMENT
- . _; .
Mouat Veraoa. Indi�ia ` .
CERT�ZCA?E OF�DEATH
Thiy CertiHes, that according to the records of the Pasey County Aealth Deparlment
N�e �f Deceased Roxi.e W. Riddle
DaLe of Death ��r 19 1989 at Allison N�sinQ Hane. Posewille. Indi�
Q[�w� t�.» � �y�..� �strw �oa+m o..�N�
Immediate cause of death Pnetanonia
�� y3, Chester R. Burkett, M.D. Poseyville, Indiana
(PHT�CIAN O$ CoBONmt) � lAOD8H88)
p� � b�� ���� j,i rtyr Gr?m?terv (:ynthi �ana_ Inciiana
(CE10'lBYI (ADD8�9) �
Date of burlal i�cenber 22, 1989 ��� D;=ector Werry Ftimeral Home �
g� � �� December 22
SEAL
luued on Decenber 22 � g 89
Form DPC
Book No. �-6 P,a�e No.
t.oc�L
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OF VITAL RHC00.DS