Death Certificate - Dix, Mattie_4/24/1979� � +. RECOKD OF DE:1TH j
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GIBSON COUNTY DEPARTI4GNT OF H�ALTH
PRINCETON,INDIANA
� TIi1S IS TO CEItTIFY, that our records show
MATTIE DIX died
� 4/15/79 _9 9e15PM 208 N• 8th Princeton, Ind.
� � hour of death etmet, hospital, ruru�
� � month daY Y�� fy� .
j Color Blsck Marital Statu
• y3' Age at Death 75 S FeeX--- w�+c� whether mnmed or eingie
i ye8re
� �7: n �. nf Panrr� �—
�i pr�mary cuuse of death given w8
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1
Signed
R. Steven Baadfield
phyeician or coroner
address
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j Place oY burial or removal nam aaf ecmMCry °�`1regs
� 4/19/79 Kendall Princeton Ind.
Date of buri addrea9
F�neral DI*ector
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(,vG�'( �i� '�'�� �
� SEAL S��
1 GiLson County Henith Con esinncr
'�s Oakland City, Ind. 4/24/�9
datu
nddrees
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f 81 �i�:�19/79
� Recorded 1oca11Y in book No. 9---page No.
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