Death Certificate - Kerns, Elvin Andrew_9/21/1982�� izr:cc►��n or.nFnTfi
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GII3SON
THIS IS TO CERTiF]-. ihat our records
_ ��1 `/82 __ a� 3:.1V
month day year hour of death
Age at Death %% Sex i�?ale
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i'riman� cause of �leaih �,�iven
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�' DEPAItTDi�NT OF 1iI�ALT_•I1.":.::."
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E7�VIN A
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1 Cynthiena, 7r.c. _
.__ �tree[, hospital, rural � .
�iarital Status ` ' ,', "= ""','°--.^` —
uzite w'he[ner n:amed or =_inel
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SiQned b��-- y°?'?'1; J• j.jevrmar.. N.D. r.__E�znsville,�nd_� �_� "." _
nn�•eician ot coroner address ""'^
Flace oi Lurial or re�no��al__ Owensville __ Owen_;�rille,_ Ind._---------_--
', name of cemeu�ry addres� � �
Date of ;urial_— � =7 �� - ..1der's _ O:vens•riile, Ind. __'
Funeral Direc�or addre?=
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Gibson.C.ounty Health Cornmi<sioncr
� Oakland City, Ind. �/: G/.�!
address a�;P
Iiccortied lurally in t�ook
i� _Y�ge No. �� Filed:
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