Death Certificate - Clark, Barbara Jean_9/22/1981; i RECORD OF DEA1'}I
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GIBSOti COUNTY D�PARTb1�NT OP IiEALTH
YRINCF.TON, INDIANA
TIIIS IS TO CLRTIFY, thst our records slio�a RG RRqg,p_�_qP�GI.i�;?.K died
�/5/75 at 9:20A;�7 r,i h.��n"� �� pr-inc�to-ra,—�.�T—
month dax y�ear hour of death strect, nospital, rural
Age at Death 32 Se.c Fe • Color—Y,lh..�4arital
pears
Primary cause of death oiven was Cancer of Cervix
j+ Signed by
James F. Peck, D7D
phpsician or coroner
Princeton, Ind.
address
rr .
write whether murried or �ingle
Place of burial or removal Maple Hill Princeton Ind
nac�e of cemetery address
-4/8/75 Colvin & Son Princeton, Ind.
Date of burial address '
bwneral Dirrctor
SEAL
1
Signed � �l � t ��
Gibson Countp Health Commis ner
Oakland City, Ind. $/1z/$1
address date
l.ecorded locallp in Uook No. 9 Page I�TO.�_�iled: 4��