Death Certificate - Borup, Donald M_6/15/1979�'�� � •.
RECORD OF DEATH
GIBSON COUNTY DEPARTTSENT OF HEALTH
PRINCETON,INDIANA
THIS IS TO CERTIFI', that our records show DONALD M. BORUP died
1/25/79 a 2:20AM Gib. Gen.Hosp. Princeton, Ind.
month day year hour of death street, hoepital, ruxal
... n... 42 cex M• Color �' Marital Statue Married
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write whether married or xingie
yeare — �
Primury cuuse of death given was
Respiratory arrest ' _
Larrv W Lutz NID Evansville, Ind.
Siqned by address
physician or eoroner
Place of burial or remova� Holy Cross Ft. Branch, Ind.
�name of cemetery address
Dateofburial 1/29/79 Stodghill Ft. Branch,Ind.
Flineral Director addresa
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Si$n�
Gibsor. County Health Commiexioner
Oakland City, Znd. 4/2/?9
nddresa
Recorded locally in book No. 9 Pnge No, 77 �led: 1�3�179
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