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Death Certificate - Whitaker, Claude M_5/2/1984RECORn OF DEATH � �
r GIBSON COtitiTY DEP9RT:lIENT OF HE9LTH
PP.ItiCETON, I\'DIANA _
THIS I� TO CERTIFl, that our records show CLAUDE MOODY [VIIITAKER died
4/14/8? at 10:19PM Wirth Hoso. Oakland Citv, Ind.
moath day pear hour of death street, hospital, rural '
?.ge at Death 56 Sex "�ale Color ��hite �qarital Statuc Married �
Sears - write whether married or single
Primary cause of death gicen a�z� Coronary thrombosis, right corcnary artery
Robert E. Stodqhill, Coroner Ft. Branch, Znd.
Jigitri liy �
physician ur coroner address
Place of burial ur removal Rehobath Carthaae, Texas
name of cemeierp � address -
�. " � � .II• '��' 1/'tl• �-�- •� • !•
1
SE�L
v1! ��a'ni �°.�e.ly1J
� 0
Gibson County Health Commissioaer
Oakland City, Ind. 4/2?/8?
address date
Recorded locall� in book \To. 10 Page No. 118 Ftiled : 4/ 2 3/ 8 4
--�s
