Death Certificate - Kiesel, Carrie_11/5/1960��
LOCAL
RECORD OF DEATH
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GIBSON COUNTY DEPARTMENT OF HEALTH -
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THIS IS TO CERTIFYy �that out records show...�. . .. ......�..:.. . � ............... died
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�Q �-y�,,da�Ye . Year � hour of death street, �h6spital, rural :
Age at deathS(1.... Sex...!/..L.R:C.l�..... Color..�.i.i.M�G.4,Gr ..........................:....(../.L�-�e.......................................
� yeazs � � . - write whether married or single
Primary cause of death given was ...................��Xl�L..,4[rG..........�............. ...... �
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Place of burial ea-
Date, of �tiurial:.. %
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ian �coroner � �address �.... .....
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name of cemetery '. ' /- � . .address . /i
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Funeral� Director ' -• _ . / � A d .ess . �n .
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Recorded locally in book No. .. ..�..�..�....�:., Page A'o... �f..�.
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