Death Certificate - Cross, Carrie M_1/10/1973- - - . _. ��� � .�, - `
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RECORD �OF DI::�TH �_P-�"
GIBSO�' COtiNTl DI:P9PT\Il:NT OF HI::�LTH '_.
PRI\CETO\. 1\DIA\ a ,
THIS IS TO C�RTIF1', that our records sho��•— — �ARRIE M. CROSS died `
Jan. 7, 197�at 1ir25AM G�b. Gen. Hosp. Princeton,_Ind. —
month day year how• of dcath street, hospical, ivral .
Age at Death %� —Sex—FCIOalC—Coloi•—White D'[ai•ital Status 1�g�'�led--
cears
��•rite w'hether mnrried or �ingle
Primary cause of death given was— Se.pt�l_mFoc�I'd131_1nfATCt.lon
$igned by 8.—G.—Ge�cl��—P1.�. --�t. Branehd'd�eZnd-. .
phycician or cornner - ��
Place of burial or removal_ ' —Walru*_Hill E�.—BTanch�—I�d.. �
. . .--- - -- name of cemeterp addm�s '
Date of bui•ial 1/10/7� I.qib Funeral Home � Ft. Branch� Ind.
Funcral Direcror � address
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Gibaon Connlp Health Commiscioner
--�r-�nc e tOn ,—T_-ntl-. 91�-' bf7�+ aate
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P.ecorded ]ocally in lwok No. 8 Page Na-6h Filed:__ 1/1
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