Death Certificate - Harvey, Nora M_1/12/1983Ii�CORD OF DEATH
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GIBSON COUNTY DEPARTMENT OF HEALTH
PRINCETON, INDIANA
TH1S IS TO CERTIFY, that our recorde show NORA M. HARVEY died.
12 12 '82' Ar 11i55 AM 'Gibson General Hosp Princeton, Ind.
month � day -9� ` hour of drath - .streek hospitsl. rural '
�ge at Death 84 4ex Female ��orWhite M�� Statua �idowed
write whether married or eingle
y�� ,
Primary cause of death given w^ Niassive cerebral embolism
Acute renal:failure
Signed by � Cho M D '_�xl?��_�!?-� Tnd.
physieian or coroner ' �d''e% - .
Plar.e of 6uria1 or •emevaL T_ 0.(1 . F. ------- Unio n,_ T nd . —_ —
name of cemetery address
Date of burial 12/15�82 Colvin _ Princeton Ind.
F�neral Director a�� -
SEAL
W��� ,��
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Gibaon County Aealth Cammiesioner
Oakland City, I^� 1�,/�—
sddreae �� �
Recorded locally in book No. 10 Page No. 81 �led: 12�15�82 � —
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