Death Certificate - Eads, Dollie E_9/15/1986KECORD OF DEATH
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GIBSON COliIvTTY DEP�RTIiENT OF HEALTH
PRINCETON,INDIANA
THIS IS TO C�RTIFY, that our records show DOLLIE E. EADS
, died
June 6, 1986 at �7:10 A.ii. R.R. # 1(near Oatsville) Francisco, In. �
month day yeaz hour of death : street, hosprtal, rura!
Age at Death 72 Ses Female Color ��hite n ' biarried
farital Status •'
Sears write whether married or single
Primary cause of death given «�as Asohyxia—Snoke Inhalation
Signed by R;chard D__�y�rod,�orong� princeton n
physician or coroner ad�iress
Place of burial or removal Atkinson Chapel Pike Co In.
name of cemetery• address -
Dateofburial June 9 1986 Kendall Princeton In.
, Flmeral Director address
SC:1L '�
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Gibson County Iiealch Co ssioner
Oakland City, In. June 12, 19g6
addmss
Recordecl 1oc111y in book No. 11 Page No. 14 F��ed: June 12 1986
date