Death Certificate - Dassel, Virginia M_2/29/1996GIBSON CO• TY DEPARTMENT OF H�LTH
800 S. Prince St.
Princeton, Indiana 47670
g12-385-3831.
RECORD OF DEATH
THIS IS TO CERTIFY
that accordiag to the records of the Gibson County Department of Healt ,
VZRGINIA M DASSEL
Died on 06/03/1986 at Home$
RR ',� 2
Elberfeld IN 47613
Age at death . 7�
Marital Status: Marri=d
Sex: F
Color: White
9
Cause of death: Hcute Congestive Heart Failure (12 hrs) Metastatic Bowe
Carcinoma (1 yr)
:�
Si aed b Jerry L. Like, D.O.
q y:
Elberfeld IN 47613
Place of burial Tabor
or removal:
Haubstadt IP: 4?639
Data of burial: 06/05/1986
Funeral home:
S E A L
Simpson-VOlkman Funeral Home
Second & Elm
Elberfeld IN 47613
Sigaed by
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Gibson County Heal �vlwu��°�
. . . . . . : e - •�' ._ Y —z�i.`l
Oakland Cit , Indiana 10Date94!- ,�
Address _. _.._,_;
Recorded locally in Book No. Page No.
14 Filed: 06/16/1986
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