Death Certificate - Woolsey, Virgil_8/15/1975RECORD OF DEATH
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_ GIBSON COUNTY DEPART�I7ENT OF HE9LTH
% PRI\CETOY, I\DIAVa
THIS IS TO CERTIFY, that our records slio«° VIF.GIL WL�DOISEY died
May 30, 1990 at 12s304M Wirth Aiemorial Eosp Oakland City, Ind.
month dsy year -"hour of death street, hospital, rural
9ge at Death ��' Sex Male Color :Jhlte �qarital Status �•�3rri aA
` years write whether married or single
Primary cause of death given was "Coronar� thromboGi s
Signed by �i /1 P�ke�s, PB 03?fr�tnc?-T���� ?tyi-.
physician or coroner address
Place of Uurial or removal M1inntvn*,rer� nakia„� Ci��� T.,�
name of cemeterv � address �
Date of burial 5/1/%0 Lamb Funer3l gomP (�Za�� �i �3�� r�,i
Funeral Director address �
SEAL
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G� G�� `�� �° � � �.�
s;�nea
Gibson Countv Health C missioner
OaklandCit,y, Ind. 8/15/75
addrnss date
Recorded locally in boolc \�o. H-51 Pave No.�—Filed: %���7�