Death Certificate - Fortner, Sadie_6/26/1980It1;C0Itll Ub' UEA1'H
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GIESON COUATTY DliPr1RT�1ENT OF HEALTH
YItIhCh'TON, INDIANA
THIS IS TO CERTIFY, that our records show SADIE FORTI��fiR _died
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_ 3/25 47 At 9:3oan! Gib. Gen.Hosp. �Princeton, Ind.
month day year hour of dnsth strcet, hospitnl, rural
a
Age at Death 48 Cex Male �lor l'Ih. tvtarital Status Pnarried
Y�' , �. write whether married or single
Primary cause of death given was Acute CardlaC failure
S;sned by H. H. Alexander, AiD Princetnn, � Ind.
physician or coroner addresa
Place of Uurial or removal I.0.0. F. Princeton, Ind.
pume of cemetery address
Date of burial 3/27/47 Colvin & Son Princeton, Ind.
� Flneral Dimtor pddresn �
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SEAL ��^ '' _ �S�gned �/ l!a��Z
- f % _ Gibson County Health
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• �'_';`•° �ii_Oakland City, Ind.
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Recorded locally in book No._ j ���Page No. `19�' Filed: 4 4
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