Death Certificate - Hipp, Wendeline J_10/6/1980�_.. _
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e LOCAL CERTIFIED
°e RECORD OF DEATH
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CITY-COUNTY DEPARTMENT OF HEALTH
Ciry of livan.rille— �'andcrburRh Couoty � �J° 12 913
ICrau.villq Indiana . .
"I'hic ic ro Certifp, that our rrcord<<ho«•--WEj�jDELI_I`I�_J_�_AIPP------------------------------ died
APRIL S 1980 1•45AM________________________Deaconess
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_""_""""___'_Y""_'____'_ "_'_ _______"'___"'
monN de � Ynr Inur al de�N �4va1, AoWiW w eunl ."
72 Male White Married
A�t atdcath-------- Ses_--------- Rnce--- --------------------------- -------------'---'----
yti� ' m+rilal �t�pu '
Primary� cause of dcach y;ivcn w�,�epticemia_ Acute_ leukemia_____________________
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$i�;ned by ------- T_- Lu t Z----------------'------------------- C].tY_---------------------------
physiruq o()(g(gp�r ���
St. James Cemetery Haubstadt,Ind.
Place of burial or removaL-------------------------------------' ----------------°--
�ume ol eemc4ry ���
4-11-80 wade F�neral Home Haubstadt,Ind.
1)atc ot Burial-------------- - -------------' ----------------------
�'�'µ-!_�__�x_ � ;^<m��-----Rc�,istrar. . •aare..
Signed----------- �-- . .
��� 4—IS—BO [SEAL]
Evansville, Itxliana -----------------------
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NOTE: Recorded locally in Book \`o. _ 4S __ Pa�e No. --- -- Reg. \'o. -_---- FEE 52.00
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