Death Certificate - Titzer, Elmo V_2/5/1986RECORD OF DEA'I'H
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GIESO\T COliNTY DEPART�IENT OF HEALTH
PRINCETON,I�'DIANA
THIS IS TO CERTIFY, that our records show ELMO V. TITZSR _ died
1/1/BS at 6PM Residence RR#2 Ft. "�anch, Ind.
month day year hour of death strnet, liospifal, rural
Age at Death 57 Sex Male ��or �lt�farital Status Diarried
yea�.y ' write whether married or eingle
Primary causeof death gicen «�a� Cerebral vas�.u��*' ��'ririP(lt
Signed b}-
Place of burial or
Date of buria�
SEAL
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Q��nfl_*I B. Emere�,in� A1.D.
phSsician or coroner
Ho1y Cross
mo�-al
name of cemetery
1/5/85 Stodghill
Fl�neral Director
Ft. Branch, Ind.
addmss
Ft. Brancn, Ind.
addmss
Ft. Branch, Ind.
address
�tl��i �.° �.�z�
9
Gibson Countp Health Commiasioner
Oakland City, Ind. 1/7/85
addresv
10 135 1/7/85
Recorded locall�• in book I�'o. page I�`o. �1eci:
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