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Death Certificate - Harmon, Bette J_4/19/1985itl?CUlill OF llEATH � �'. G113SON CUUN7'Y DEI'.�1;'1'111Lh'7' OF III:ALTII � . 1'RINC}`fON, INll1.4N,1 77llS 1S TO CERTIFY, thnt our records shoµ�_ FFTT T HP A190IJ died - �- _ c��g�^ IIt 9AI;i � �Gib. Gen.Hosp. Princeton, Ind. mont� day . yev. hour of dea[h - � = s[met, hoepital,-rural , A�c a! I)eath__ 5� Se�_Fe. Color l�h'• Hrarital Status Married . yeare „ write whether married or xinRle ••Prim:u•y cause of de�th given Encephalopathy , Si�ied by Arun C. Kwaar, M.D. ' � physician or wroner Pl:�ce uf burial or removal Mauntee Princeton, Ind, address Johnson, Ind. • n&rnc uf cemeiery. . . ' .. ` . . - addreea� ..,' �.:, ! . 7; 9/3�/�2 . . . •.:r� - .,. . . Dute of buri:il __ I.amb-Hed e� __ Oakland CitV,_Ind. � FLneral Director . addreas - SF.AI, . W `��'t � � � � � � Signed Cibaon County Heelth Commieaioner Oa}:land City, Ind. 10�1�g2 , � adaress I:ec:ordeci locally in book No._ 10__page No. 75 F'iled 1 . _- --- -.._....-- - . ..... - -�._._. _.._ . - - - —.... 1, - ... __ . t - - -� - - 2 r� date ' :