Death Certificate - Blood, Mary E_11/15/1984_ _,._.. _ _ ._.
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RECORD OF DEATH
GIBSON COUN1'Y DEPARTb1ENT OF HEALTH
PRINCEI'ON, INDIANA
THIS IS TO CERTIFI', that our records show IS�RY_E..�I,Q.QD died
10/26/84 at 7.r�c p.�,_ Gib. Gen. Hosp. Princeton, Ind.
month day year hour of death street, hospital, rural � . �
Age at Denth_ 75 Sex Fe' ._Color Wh' biarital Status_ Married
years write whether mazried or single
Primary cswse of death given was Cerebral Hemorrhage
B.C. Brink, DO Princeton, Ind.
Signed bt•
physician or comner � ' - , ,_ address
Pl:ice of burial or removal Rose Lawn Memorial Park Meadville, PA.
, name of cemetery ' address
Date of Uurial 11/1/84 Kendall F. H. Princeton, Ind.
Flinenl Director address
Grl�'�/��°.�,�,b
sE:��. s�g„�a
Gibson County Health Commissioner
Oakland City Ind. 11/5/84
address ��
Recorded locally in book No. 10 Page Iv'o. 132 F`iled: 10/30/84