Death Certificate - Breeden, Claude Norman_8/21/1984e
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RECORD OF DEATH �
GIBSON COUNTY DEPARTM�NT OF HEALTH
PRINCETON,INDIANA
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THIS IS TO C�RTIFY, that our records show ' CI;AUDE NORMAN IIREEDEN died
8/3/84 zt � 7':30AM 430 S. fiall St. Princeton, Ind.
month day yeer hour of death etreet, hos�ital, rural
Age at Death` �a Sex Male Colar �ahite M�tal Status Married
yeare � ' wrlte whether married or eingle
Primary cause of death given was_ Mvocardial infarction
Signed by Arun C. Kumar, M.D. Princeton, Ind.
phyeician or coroner nddresa
Place of burial or removal Maple Hill Princeton, Ind.
name of cemetery nddreas
Date of burial $/�/e4 Colvin Princeton, Ind.
- NSineral Dlmctor addresa
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SEAL
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Sign �"
Gibson County Health Commis9 oner
Oakland City, Ind. 8/9/89
addreae date
Reco'rdeci locally in book No. 1� Page No. 12 6 Fti1� : $� 8�$ 4
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