Death Certificate - Frenette, Grace_4/30/1984HECORD OF DEATH ' •
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GIBSON COUNTY DEPARTMENT OF HEALTH
PRINCETON, INDIANA
THIS IS TO CERTIFY, that our records show GRACE FRENETTE dj�
3/23/84 at 4:30AM Gib. Gen. Hoso. Princeton, INd.
month dny `.� year � hour of death , atreet, hospital, rural. .
Age at Death � 91 � Sex Fe • Color �^'h • My�ital Status Widowed
Y�� - , � write whether married or aingle
Primary cause of death given was Chronic obstructive pulmonary disease
Signed by R. C. Bry�$.�_Sr. Do PrinrAtnn� INrI
physician or coroner � addtess
f?lace of burial or removal Manl ' H� 1 1 p i nrat�nn rNd
name of cemetery address � �
Date of burial 3/26/84 Colvin Prin eton nd
� Fluieral D'uector � address
SEAL
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Gibson County Health Commissioner
Oakland City, Ind. 4/26/84
addmss �� ..
Recorded Iceally in book No. 1 n Page No. 1 1 F F;led: "t / 2 7/ 8 4
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