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Death Certificate - Doom, Garnet M_9/13/2007IS IS an UhhIGInL•GUri Ur HtGUHU Uh UtaIN:�UHIGINAL�GOPT;ON,FILE AT:THIS.COUMY'S HEALTH DEPAflTMENT; : • � �-� � :�� - -. . � RECORD OF DEATH THIS IS TO CERTZFY that accordiag to the records of the Gibsoa Couaty Departmeat of Health, GARNET M. DOOM Died Oa 04/14/2001 dt 2:15PM Residence R.R.# 3 Box 305 Haubstdt IN Age at death . 86 Years Marital Status: Married Cause of death: CHF. MI. CAD Sex: F Color: White Sigaed by: Robert Hond, M.D. 1137 West Mill Road Evansville ZN 47710 Place of burial Sunset Memorial Park Cemetery or removal: Evansville ZN 47710 Date of burial: 04/18/2001 Funeral home: Alexander North Chapel S E A L 4200 Stringtown Road Evansville IN 47711 � 1��� SEP l 3 2007 `�6 '�� GIBSON C �NTY AUD�TOR Signed by s�� G' ���'-__' '�" .. `� Gibson County Health Commissioner Recorded locally in Book No. 14 �;`,;: ;�1� // < � ! NRA-20 ^,/� OO/(!/ .�: ": (5/03) � / — � � Princeton, Indiana 09/13/07 Address Date 088522 Page No. il Filed: OS/17/2001