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Death Certificate - Brumfield, Mary Ethel_3/20/1978� .. . . . . . . . . .. .. . e , . U.:�a RECO2D OP n�aTti • � UIESUN COUA''1'1 llBPART\ll'sNT OF iIEAL`L91 ' _ , I'RINCF.TO�I, INDI:\NA ' .. �. . . . TIi?S 1S TO C�RTIP'Y, that uur records show ,_ MaR}�F�HEL_BRUMFIELD. _. died ''•. _12�� ']7 at�Q_:1�_AM llwangvi 1 1 a_,�nriv31.fl5cEnt f:rntar. ... . .-. - •_ � �, mqnth day year hair uf ileath � � sL�eet, hospital, ;wal � - ' � . , . Agz nt Death $8 Sex�IOale _Color_�^lhl�lleirital Stalus_�?i�o��ed years � � �vrite q•hether. married or single Primary cause of death given �vas_�'1Q_dull�ry�'�i111re Met�„stzltl_�CA Kidney - Liver Signecl by ,__,Glenn D��kenson'� D. 0. . Owensville, . Indiana _ i . . .__ .._ . .- � ' � - � ' phesician� or'coruner' ' � a�idress Pl1ce of burial or remo��al' Bensom_CemeterV _. Owensville, Tndiana _ . , • ` . � � ' .. � nanic ot cemete�y � ' � � address ------ �� Date of burial Holder Funeral Home __ __.__ Owensvill�,. Indiana______ { - � � I�uneral Director nddress j y. � , , � .1 � ,' . � .�-. ,i•f � - , , ,r � � -_ < .,-, , <�- . . . i � t..L. �. � � . .p i' . • ,i . SF.AL Signed ,. � ' . _ • � -.. . - � � _ � �Gibson�Cqunty Health Cortimissioner � � : _�akland�itY-,—lntL. _..: . _1�2/-19�77 . � • � , � � address date . i P,ecorded locally in b��l: \TO. H-�?---Page No;_36 ,.—Filed:_ 12�19�77 , , - - ..�. -- � . % -;�...:1