Death Certificate - Grubb, Alta_3/13/1978� ._ . ,. ..
RECORD OF DEATH
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GIBSON COUn'TY DEPART114ENT OF HEALTH
PRI?�CETON,INDIANA
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THIS IS TO CERTIFY, that our`records show ALTA GRUBB a[�
, 3/*5�1978 a+ ?�50AM Gib. Gen. Hosp. Princeton, 7nd.
. ��-.�month day � year hour of death street, hospital, rural -�� �,�
."' Age at Death `�� Sex Fe' Color �• hiarital Statuc Rrite µhether married o�stngle
Primary cause of deatl� given �vas Carcinoma ascendin� colon with meta�tasis
Si;ned b5- R. E. �Weitzel, M.D. ` � �Prinr.eton, Tnd. �
, ph��:ciaa or corcr.e: ' c3dress
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� Place of burial or removal Atkinson�.Chap�l Pii;a Cn ., Tnd- _
� � � ' - � � ' name ot cemetere '- � -- address
Date, of ,burial— 3�8�78 Corn Mnrtuarv nakl anA �; tv_ T„� _
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Signed �/
. Gibson County Health Commissioner
oakland City, Ind. 3/13/78
address . date
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P,ecorded locally in book No. 9� "Page No. -59 Filed: �1�7R
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