Death Certificate - Byrns, Mary Pauline_7/28/2003RECORD OF DEATH
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GIBSO\ COUNTY DEPAP.1'�iEA'T OF HEALTH
PRINCETO\�, INDIANA
THIS IS TO CERTIFY', that our records show n��A RY PAliI,INE EYRPtS died
4/12/81 at 12PP:1 Gib. Cen.Hosp. Princeton, Ird.
month day year hour of death stzeet, hospital, rural
Age at Death 55 SeK Fe• Color �N�' r4arital Status NI•
years . �crite whether married or singte
Primary cause of death given was Cardiopulmonary 2xrest
Signed bc Narenda� H• Ana�kat, N.D. Princeton, Ind.
physician or coroner addre�s
?�ace oi i�uriai or remocai g�y����g uwer_sville, Ind.
name ot cemetery address
Date of burial �/15/�1 Hclders Owensville, Ind.
i�neral Director address
SEAL
Gr� �`�'t�° ,/� ��.�
s�gne
Gibson Caunty Health C issioner
Oakland Gity, Ind. 4/LO�G7
address da�e
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Recorded locally in book ro. 10 page No. 3� Filed: 4�20 S1