Death Certificate - Dillon, Sara E_5/22/2007I �. .: .
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_, GIBSON COUNTY DEPARTMENT OF HEALTH
, � 800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIB Z8�1'O CH&TIPY " �
ehat accordiag to the recorde of the Oibeon County Department of Health,�
3ARA $�, DILLON
Died�on 07/29/2003 at unknown
Residence �
301 S. Division Street
Francieco IN 47649
Age at dea[h . 72 Years Bex: F.
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Marital statue: Married Colo=: White '
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Cauae_ of death� Rutpured Abdominal Aortic Aneurysm, '
hVidenced by: 1. +/-2000cc Retropezitoneal Hematoma, 2. Severe Aortic
Ath�eroscleroeis, resulting in: Exsanguination. A.S.C.V.D.
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Manaer of death: Natural
Signed by: Richard�D. Hickrod
' 425 N. Main St.
Princeton IN 97670
Placeiof burial I.O.O.F. �
or removal:-
. � Francisco ZN 47649
Date oE buzials OB/04/2003 �
ptwerel home: Colvin FLneral Home
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•�� ;425 N. Main St.
� � �- PTinCetOn IN 47670
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Coroner of Gib. Co. .:�
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. Gibson County Aealth Co�issioner :
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Princeton, Indiana 08/21j03 �
Address ' Date� ,
Recorded locally in Book No. 14 Page No. 69 Filed: OB/21/2003
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