Death Certificate - Arburn, Grace G_12/12/1985RECORD OF DEATH
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GIBSOI�T COUNTY D�PART111�NT OF HEALTH
PRINCETON, INDIANA
THIS IS TO CERTIFY, that om• records show GRACE G. ARBCTRN �.e
1/ - 5/ -- 79 a} -I:50 P..M. Gibson General F.ospi*.zl Pr-ince*on,-In. - -- ---
month day year hour of death street, hospital, rural
Age at Death �1 Female White Married
Sex Color Marital Status
years write whether married or sing]
Primaiy cause of death e ven was �rebral Hemorrhage (5 Days)
Signed bp James F. Peck, M.D.
physician or comner
Place of burial or removal I.O.O.F.
name of cemetery
Date of burial 1���79
F4uieral D'uector
Princeton, In.
address
Princeton, In.
address
Princeton, In.
address
SEAL _ SI�� �'�C�`�r'YLlG�. ��g.�s,?'J
� � Gibson County Health Co� ' ioner
Oakland City, In. 11/14/85
-- . address date
Recorded locally in book ATO. 9 ' pave �ro, �6 ���: 1/11/79
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