Death Certificate - Anthis, Donald L_4/28/1980S'
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RECORD OF DEATH
GIBSON COUNTY DEPART1fENT OF iI�ALTH
PRINCF.TON, INDIANA
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DONA[�D L. ANP}tI�
TIIIS IS TO CRHTIFY, thnt uur recorda show _ ._-- dicd
1 4/18/80 a� 9Ar�9 Gib. Gen. Hosp. Princeton, Ind.
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! month day yenr hou of death atreet, hoxpStal, rural
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; Age at Death 49 �e� ��' Color l�h' Marital Statua h1arZ'ied
� yeare write whether married or eingle
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Primury cnuse of denth given was Ruptured myc�ardium _
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i Signed by Bruce C. 13rink, DO Princeton, Ind.
� phyafclen or coroner � � addreu
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Pincc ot burinl or removn� Qa1�Hill_ PatQkti,�nd.
namo ot cemetery aJJrena
Dnte ot burial 4�21��30 Colvin Princeton, Ind.
� . Phnarol Dlrator uddresa
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SEAL
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Gibsou.County Health Comml oncr
Oakland City, Ind. 4/25/80
ad�+eae . . ; ,. � � . dete
Recorded locally in book No- 10 page No- 10 �1�:__ 4�22�80 —
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