Death Certificate - Sills, Forrest_4/23/1986ItECOItD OF D�ATH
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GIBSON COUNTY D�PART�I�NT OF HEALTH
PRINCE°rON, INDIANA
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'I'IiIS 1S 1'0 C�P.TIP'P, lhat our recoi•ds show EQRRES.T_SILLS___--
6/18/84 2:25P.I�1 Gib. Gen. Hosp. Princeton, Ind.
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month day pear hour of death street, hospital, rural
Age at Death � 2 Sex �• Color wh • n4arital
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Primary cause of death given «�as_ Res
Signed by K. Murthy, h1D
physician or coroner
arrest
Princeton, Ind.
address
Piarried
write �vhether married or eingle
Place of buri�il or removai A1an-kqomPTr n ti� .� r; +, r„� ��_
name of cemetery addmss
DateofUurial 6�Z0/84 Lamb Hedges & Basham Memorial Chapel Oakland City, Ind: �
Flineral Director address ,.
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SEAL
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Gibson Count}• fiealth Commissioner
Oakland City Ind. 6/25/84
address date
P.ecorded locally in book No. 1� page rTo 12 3 Filed : 6/ 2 5/ 8 4