Death Certificate - Chadwick, Mary M_5/27/1998RECORD OF DEATH
GIB50N COUNZ'Y DEPARTM�NT OP' H�ALTH
PRINCETON. INDIANA
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��.THIS I$ TO C�ftTIFY, thnt our records show MARY M. CHA�CK died
, S/16/85 �r 5:17AM Wirth Hosp. Oakland Citv, Ind.
month day year hour ot death atreet, hoapitul, rural
� Age at Death 69 Sex Fe� Color wh� 1Karital Status Married
� years write whether married or eingle
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Primary cnuse of death given was_ Carcinoma of ovary
Sig�ied by Henry A. Peters, DO Oakland City, Ind.
� phyeician or coroncr address �
Place 9f_by;lal o;,remova! Montgomery Oakland City, Ind.
� "���� � name of cemetery ^ addresa -� �
Dateofburial 5/18/85 Lamb Hedges & Basham Oakland City, Ind. _
N�neml Director addreas '
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Gibson County Hcalth Commiaeioncr
Oakland City, Ind. 6/3/85
addrees
� Recorded locally in'book No. 1� page No. 19 � ��ed : 6/ 3/ 8 5
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