Death Certificate - Dierlam, Marcelle B_10/23/2000� GIBSON �UNTY DEPARTMEN'P�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that accordiag to the records of the Gibson County Department of Health,
MARCBLLE H. DIBRLAM
Died on 02/11/1997 at 6:20 PM
Gibson General Hospital
1808 Shexman Drive
Princeton IN 47670
Age at death . 78 Years
Marital Status: Married
Sex: F
Color: White
Cause of death: Cardio Respiratory Arrest
Cerebrl Anoxia
Renal Cell Carcinoma with Metastasis
to Lung and Liner.
Signed by: Bruce C. Brink, Jr., D.O.
410 N.Main
Princeton IN 47670
Place of burial Owensville Cemetery
or removal:
Owensville IN 47665
Date of burial: 02/15/1997
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Funeral.home: Hoiders Funeral Home of
_'' � y; p' �, t.' Gibson County, Inc .
�'.� .f .:........: : . P . O . Box 518
',,• •Z : . f Owensville IN 47665
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'� � t, '[� " r> ' � Signed by L�.
�, °{ � R•- ' ' '•' ! Gibson County Health Commissioner
.S;E.A L ' ` _-
�1����� � � Princeton, Indiana 09/13/00
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Address Date
Recorded locally in Book No. 13 -.Page No. 32 Filed: 02/18/1997