Death Certificate - Brown, Allen Ivan_4/14/1993� � ` � �
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RECORD OF DE�1TH
�"IL�.�
- - . APR 141993
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AUDITOR �
GIBSON COUNTY DEPAF.TT'fENT OF HEALTH
PRINCETON, INDIANA
THIS IS TO CERTIFY, that our records show AiS,�N IVAN BROSdN ��
4/14/69 at 5.Z�PM 50� N. idain Owensville, Ind.
month day year hour of death street, hospital, ruial
Age at Death 5� Sex M' Color �`�� Marital StatuQ i4arried
years wtite whether manied or single
Priu,ary cause of death given was Acute coronarY occlusion
Signed by G1enn Dickenson. Do owPnav> > 1 a, j„r� _
physician or coroaer address
Place of burial or removai Maumee Owensvi l lp, Trd-
name of cemetery address
Date of buriat 4/16/69 Holder Owensville, Ind.
F4ineral Director
SEAL
address
� ✓ lj�-�%!�i�� v , ���/I< f'',�
.SI$I12 �
Gibson County Health Co ' 'ssioner
Oakland City, Ind.
address
Recorded locally in book No. H- S� Page No. ? 1�'iled: 4/16/69
date