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Death Certificate - Hasselbrinck, Leland J_3/30/1994� • ' ' LOCAL ILECORD OF DEATIi llAVIESS COUNTY H�ALTI-i D�PA1tTMENT Court Ilouse --, West�ington, Indiann 47501 0o7-DD3��-o0 00?- (�D37�-Do �� 7 - � �� 7�� ,SIO - DDI�I - O� THIS IS TO CERTIEY, that oqr records sho ____ L?land J. Hasselbrinck _ �� w -------- --------------------------------- January_ 19 ___ 1993 10•00 a.m. Daviess County Iiospital, Washington, Indiana --,------ ---- a� ---°---------�---------------------�--°----------------------- month , dny � yenr � hour of death street, h IWl or rural Age at death __52 ______ Sex _�1�,__., colvr __ P7hite_ Married-l�nna Schapker -------------------°--------°--------- �.e�y � � � � � ' . write whefher marricd or aingle � massive head and chest trauma_ _ _ ' Immediate cause of death g}ven war, -----,.�---------�,.--------------------------- Semi-tractor trailer-train.collision. Accident. ----^--------, -°----------------- --------------------------------------------- ----------�----------,-^---, , Si ed b Stephen L. Cullen, d.0. Coroner _ Washington, Indiana 6"' Y ------��^-°--------�-------------•^---�-------°------,------ --------------------°-- � phys3ciet� ar corot�er, address Place of burial or removal ___.,r_� Y Cross Cernetery ' _'Fort Branch, Indiana HOl,_""""'_""_"'"'"*'"_"_'_"'"' ""'""'_'____'_'"'__' name'of cemetery nddmsv Date of burial �an._ 22, 1993 Stodghil]. FUneral Flane i'ort Branch, Indiana --- ---------------------------�---°----------------------------------- '� ' . �'uneral D'uecloz addrev ��/�/. /�A � /� . . � $Igtl0C1:"""":��SG`�LJLt�_�--/�`tlCL'�_J!�Ll"__"_"__"_" . ' S'�' AT . . , . Dovic;s Counly�alth Otticer /W r/ COUR7` HOUSE — Washington, Indtana 47501 Recorded locally in bpok No: ��=23 ___ Page No, ___ 3Z9 Dnte March_ 30 �_�99_4---- a ,.