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Death Certificate - Tichenor, William Frederick_8/30/1977�
RECORD OF DEATH
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GIBSON COUNTY DEPr1RTD1ENT OF HEALTH
PRINCETON,INDIANA
THIS IS TO CERTIFY, that our records show 1VI7T,TAM FREDERTC`K TICHENOR died
6�8�77 at 5;3pA�I RR #1 Ft. Branch, Ind.
street, hospital, rural
month day year hour of death ' M3ry�18d
�'�' Color �—n'Iarital Status
�"-igd at Dca'�h 62�e" write wnether married or single
y��
Primaiy cause of death gi��en was
Coronar,y thrombosis
Robert E. Stodghill, Coroner Ft. Branch, Ind.
$]g11ed by address
ph}•sician or coroner
Place of burial or remo��a� Rose Hill Newburgh, Ind.
name of cemetery � address
6/11/77 Simpson Funeral Home Newburgh, Ind.
Date of buria �neral Director address
/ / �° / / /�
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SEAL Signe�l
--Gibson County Health Commissroner
Oakland City, Ind. 8/19/77
- acldress — __ _ _ _ _ date _ _
H-52 3� F'iled: 6/10/77
Recorded locally in Uook No. page No.
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