Death Certificate - Holtsclaw, Eunice_9/6/1988� ' RECORD OF DEATH
GIBSON COUNTY DEPARTMENT OF HEALTH
PRINCETON, INDIANA
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THIS IS TO CERTIFY, that our recorde show FIiNTf'F HpTmSf'Tnw died
Oct. 27. 1977 a+ 6•15AM Gih. �Pn Hn�p Prinraton, Tnd.
month day year hour of death etmet, hoepital, ruml
Age at Death 7� Sex Fe. Color Wh. Marital Statu� Married
yeare write whether married or single
Primary cause of death given was Zun�? cancer• Dvspnea• Pleursia
c;�,..a �y _ Hassan Rave��L�L•�. PrinrPtnn, Tnrl.
phyeician or coroner 8d��
Place of burial or removal Atkinson Ch3])el Oa tsvi l l P. Tnd .
name of cemetery address
Date of buria� 10/29/77 Kendall Funeral Home Princeton Ind
. Funeral Director address
SEAL
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Signe�l
Gibson County Health Commisaioner
Oakland City, Ind. 11/2/77
���y date
Recorded locally in book No. 9 Page No. K1 Filed: 1�,L?���