Death Certificate - Burden, Ina Marie_9/10/1998GIBSON C�JNTY DEPARTMENT � HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
ZNA MARIE BURDEN
Died on 09/OS/1998 at 6:30AM
Residence
612 W. Division St
Oakland City ZN
Age at death . 73 Years
Marital Status: Married
Sex: F
Color: White
Cause of death: Metastatic CA Lung, 6 months
Years of 2 pack a day Smoker
Signed by:
Place of.burial
or removal:
Date of burial:
Funeral home:
S E A L
Henry A Peters, DO
Hwy 64 West
Oakland City ZN 47660
Providence Cemetery
Francisco IN 47649
09/08/1998
Lamb-Basham'Memorial Chapel
226 E. Washington
Oaklanci City ZN 47060
Signed by � �' F��`�_
Gibson County Health Commissioner
Princeton, Indiana Ol/24/00
Address Date
Recorded locally in Book No. 13 Page No. 71 Filed: 09/10/1998
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