Death Certificate - Tucker, Cornelius R_12/15/1986:I;CORD OP DEATH
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GIBSON. COUNTY DEPARTnIENT OF HGALTH
PRINCETON,INDIANA
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'II1S IS TO CERTIFY, tliat our recorda show CORNELIUS R. TUCKER
— died
June 4, 1984 pt 2;30 P�.M. Forest Del Nursing_fiome Princeton, In.
ruanth day pear hour of death etreet, hoepltal, rural �
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,ge 1t Dexth 84 gex Male ��ofahite niarital Status Married E�r:�Ey
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write whether married or eingle E<;�: -�:`- �
'rimary cause oF death given was_ C rPhral anm•i ^ C�arAin RPSpi ratc�r ArrP ��` IJ
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_ Pneumonia, Pre-renal azotemia.
i�'igned by$ruce C Br'�nk,_,T� p,p Prinra �
( physicianorcoroner ton, In,
address ):: ,::_ .,.:
�9.�ce of burial or removal Keith—piorrow Parkers Lake Kv
name of cemetery address �
�:�teofburial June 8, 1989 Colvin Princeton, In, ��v
FWnerat Director addrcss
SEAL
$1gnM� °����C�'��L�f,�f
Gibson County Health Co sioner
Oakland City, In. August 18, 198G
addrnse
'tewrded locnlly in book No._ 10 page No. 121 Fg�; June 11 19R4
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