Death Certificate - Tisdal, Eldon_4/11/1977RECORD OF DEATH • •
' GIBSOAT COUNTI DEPART\IEATT OF HEALTH
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�LDOPI LLOYD T
- �_'I'IIIS IS TO CEPTIFY, that_our records show L ISDAL died
\�'� . _ 1'�11�i7 at�_;23P1'fl �>Ii rth Hnsg.—Qa.klan� r�__-_�_�„?;,d
- month day year hour of death strect, hospital, rural .
� �Age at Denth 57 Sex�ale Color �.±� - Dtai•ital St�tus T��vcs�sed
� pears ,, write whether married or single
, Primary cause of death given was 1`�fetaStatlC CarCinoma
H. A. Peters, DO �. �Oakland City, Ind.
. Signeil by --
. � � �. _' • ; — physician or coroner ' . address �
Place of burial oi• remo��al P:lontQomery Oakland City, Tnd.
� � , . � name of cemetery address '
.Date of burial 1/13/%% Corn Friortuarv Oakland Ci ty, Ind.
. ' - � Ftineral Director address
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sE aL s��aea C/ _ .
Gibson County Health Commissioner
, . t:.,- . Oakland �ity, Ind.. .. - 3�9/77 ..
_ . ; � •' � " � ' address date
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Recorded lceally in book No. H-�2 Page No. 2�_Filecl: 1/_1_Z�77. �-
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