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Death Certificate - Doerner, Dora Ida_4/8/1969' , . .. . ' ' ' .. . �. . . . . � : � : .. ._ � . � .' I ..�' . � . ` ' � . �. �RECORD OF DEATH � � . ' GIBSON-COUA�TY DEPARTl1'IENT.OF HEALTH' . � • .. . � '" - : . . r: � . . , . � PRINCETON, 12�DIr�NA- . � . , . ` . : � . . .. . �THIS IS TO CERTIFY, that our_ records show DOFiA IDA DOERNEA died , .. . . . . .. .. . S. ., .. . hiarch ' 21 ' 1969 at_'Forest-De1 Nrsa. Hone.. Princeton Ind� � � � . � month . � �day � � � year . , - � � hour of death. � , - . street, hospital,' n�ral - . ' � Age�at Death 72� Sex Fem&le_Color � white� . ' I�tarTled - = � . . . .- years � � � � . ' . .a�rite� �chetker �married� or�single , � • _ � , Primary cause of death given was' Septicemia ' ' ' � , , . . . _ . ,- - ,. �. . _ . .. _ _ . --Signed by -�� 3: C:��Rri r,k; - n p Princeton, -Ind. _ - . . � physician��or�wroner - - - . � - - - -� address , � , � � � •� • Place of burial or removal BlaCkfoot Cetaeterq Pi ke County, Tnd . � .. ' ' � � . � name� of. cemetery . . � . _ _ . .' . - addiess ' . "' . � � ' � - � Date of buria �3�24�69 .' Corn t�ortua ' � a'� d � •- �� _ Funeral�Director : � . �� e g �. � �� , . . _ � . . � .. ' ' . ._ � � - .�. �.. ' �.- _ . . . SEAL. - . - '. Signe ' • � � � - � - - � ' • Gibson County Health ��Commissioner , • • i� 'Yrf , - .� .' Princeton,� Ind�: 4/8/6q .�� - . . . . .. , � . . . address. . . �. . ' Date 'Reco}•�?ed locally �n:book ?�o • � � page No. 259 . Filed: ' �'�7�69 ... . _ - . , . _ . . . .-,n. � �'-- • _ : . .. . - ,- .. �, �' . - . , . ,