Death Certificate - Graper, Greeba E_5/18/1984—• -- � - - � — � - -
.ECOKU OF DEATH
GIESON COUNTI" DEPAI:T�tiiENT OF FiEALTH
PRINCETOh, IT'DIAKA -
THIS IS TO CEP.TIFl,"that our records show �FF'�'%�� E. GRf�FER died
i;�,y�82 at 2ur:: 73� E. stzte Fri.nceton,. Ind.
znon�� day yeaz � hour of death .street, hospital, rurat �- �
A�e at Deaflt �7 �ex Fe. Color l"'n• T4arital Statuc Wino�ved
� yesrs . – . -- � .. � � . wreie� �vheY]:e: rar•ied� or'siagte
Priman- cause of death given was
Arterioscler•otic cardio�ascular disease
Signed b�- °on� C}t0, tnt� Pri nrPt�n, Tn�i
_ phpsieian or coroner � addmss �
Place o: burial or removal Somer�-ille S.om?rvj l l a, 7nr1
name of cemeterp - � - . . address ' � ' . ..
D2teoi burial i1�LG��2 Kendcll Princeton Tnr�. ' _
Fhneni Director address � . � �
� � . . '�� �- � .
l.t� ��7 �'Lt �°� �"� �.v
.
SEAL Signed
� . Gibson Countv Health Commissionei
Oal:?�.r.d City, Ind. 11/22/$2
� . -� address � � date
:.ia,C �2C IO.^3!!C ]•^. ti'00�: �iC. �� - .o3g��iVC.-7� :31�.3: '1�22�8� " _
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