Death Certificate - Tate, Oral_1/7/1977N��•}G-i�.'J'A: TM�T�'F%tC ��'rYlY �/ �. .
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, ' RECORD OP•DEATH
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GIBSON COUNTY D�PAR7'\IIiNT OI' IIEALTH
YRINCETUN,INUTANA
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THIS IS TO CERTIF'Y, that our records show
ORAL C. TATE died
Sept. 14, 1976 at �'�SPM Gib. Gen. Hosp. Princeton Ind..
hour of death street, hospital, rural :
m0"�' �y YeaT Marri'ed
Male Color«hlte�qarital Status
Age � at Death 7 5 Sex write whether married or single
yeara
o.
primary ¢ause of death given was
Arteriosclero a
James F. P�_ck M.D. _ PrtnrPtnn Trr� .-
Signed bY' _ .. . .—.,•-� — . . . ecldress
� , . �r� _ "physician or�coronei "-' ;- .. . . . .
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Place'.of'burial or removal Fairv Pw address .
. name of cemetery
C0� vi n& S address
Date • of buria' � �� � ��5 �nernl D�rector
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"��' �'�• �� Oakland City, Imd. 10/14/76
.':.-� "-' - . ;�c:� �� date
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.r.?ye4:N'�`�.�.� T 'i(1 Filed:
Becord"ed iceally �n book No.—T-- page �'O•