Death Certificate - Tucker, Darwin_9/23/2003� �
GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831 � �f � � �
1
RECORD OF DEATH
SEP 2 ;3 2003
THIS IS TO CERTIFY "� GIBSON C�OUf�I?`r
that according to the records of the 6ibaon County Department of Health,
DARWZN PAIIL TIICKER
Died�on 09/14/2003 at 4:OOAM
Residence
R.R.# 3 Box 108
` - ._ . Owensville, IN
Age at death . 77 Years Sex: M
Marital Status: Married Color: White
Cause of death: Recurre.^.t Metastatic Sarcoma, 11 Mozths.
Sarcoma. 3 Years.
Signed by: Daniel Shirey, M.D.
611 Harriett St. Suite L100
Evansville IN 47710
elace of burial Owensville Cemetery
or removal:
Owensville IN 47665
Date of burial: 09/16/2003
Funeral home: Holders Fur.eral Nome
P.O. Box 518
Owensville IN 47665
S E A L
Signed by �¢S.,!���,cc� �./� �Q— � L_
Gibson County Health �ioner
Princeton, Zndiana 09/22/
Address Ddte
Recorded locally in Book No. 14 Page No. 72 Filed: 09/22/2003
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