Death Certificate - Williams, James Richard_2/7/2008I ' '.^_ ",^_"' ':i:'"' ^:_�.'"i'_" _ '. ,^ "^;^..Ij: _ ..'�' '��' _. ._.
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�U�' ;.?' .._ POSEY COUNTY ,HEALTH DEPARTMENT ;�' ` ' �����,
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�;� � Mount Vernon, Indiana 47620 . - �I�
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'~' CERTIFICATE OF DEATH �'
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��' This certifies, that according to the records of the Posey County �
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��� Name JAMES RZCH.T�RD [�1ILLIA�7S ���
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1���. Died in Posey.County, Indiana on O�tober 17, 2007 ���
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'���� Time of Death 09:50 Aitii Marital Status td Sex M Age 96 ��l
Race W Place of Death: Address NEW HARMONIE HEALTHCARE CENTER
City NEW HARMO'�IY State IN
Primary Cause of Death Given: ALZHEIMER'S DEMENT_TA
Physician or Coroner KYLE RAPP, M.D.
Place oi Burial or Removal: Name OAK GROVE CEMETERY
City 047ENSVILLE State IN
Date o� Burial October 20, 2007 Mortuary:HOLDERS FUNERAL HOME -�
Book No. CH8 Page.No. 50 Recor� was Fi12d October 24, 2007
Date Issued October 24, 2007
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FEB 0 7 Z008
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GIBSON COUNTY AUDITOR
Not Valid Unless Signed & Sealed .
MD
osey Cou y Health Officer