Death Certificate - Harbison, Esther Pauline_3/3/1981r
RECO?:D OF DE_1TH
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GIBSOV COU1'TY" DEP�RT�,fEtiT OF HEALTH
- PRINCETOV, I\DIA\a , �
THIS IS TO CERTIFY, tliat our records show • F�T�-iF'q �4iiTT� HARR7Cnn died
3/�/80 ct 4:30FM Gib. Gen.:o�y. Princeton, Ind.
,montn dap year hour of death street, hospital, rural
Age at Death 6 � Se� Fe � Color '� � nlarital Status N� •
pears � w-rite whether maizied or single'
Primary cause of death given was Biassive pulmonary edema
Signed by B• C. Brink, DO Princeton Ind. �
physician or coroner � addzess �
Place of burial or remova� 4Vhite Church PrirLeton- T+���' ��7 ���
� name of cemetery
Date of burial 3���80 Golvin
� Fhnenl Director
address
Princetor_, Ind. ;-��; � r:,.�
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' xddress . "
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SEAL Signe
� . • � � Gibson County Health Cammissioner
_ ' � Oakland City, Ind. 3/3/81
. . _ address date
Fecorded localh; in book No. 10 Page \TO. � F;ied:�19/80
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