Death Certificate - Kiesel, Margarette E_6/19/1979,
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LOCAL CERTIfIED
RECORD OF DEATH , �
TY-COUNTY DEPARTMENT OF HE
Ciq o( Evan.villc— VonderburQh Counq
, &ran.ville, IoJi�na
N° ?873
This is [o Certify, that our records show___�RGARETTE E. KIESEL _________ died
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JUNE 9 1979 - Deaconess______________________
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meoth Eq �e�r Eour af d<uD �tre�4 �dD�NI or mrd
Age at death--61--- Sex_ Fema 1 e Cotor--- White ------------------M�iSl.�.�------------------
�un � wr(t� �EelS�r murbd u de�6
Primary cause of deuth given H•n. Cardiogenic_ shock—ACuG�_ myq�a�jj,dl_.icLfdxCxliiA___ E �
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Si�ncd b T. R. White --- Cit�+---------------------------- : I
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Dsstki�n x� � Wdx� .P. �.
Place of burial or removal______ St :_ Peter _& _Pay� ________ ___J3d31��tdS3t��Ilf3.______
e�m� of wmetrq �Adee
D,c� oi hurial ----�?-1?'�9 ------- Wade Funer��_�34ti1� ------Hdlibs_tadt�_Ind.---------
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Slgn[d "_""_"'_ ' IC�"�"1_/_.__/_����_ Registnr.
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6-18-79 SEALJ
Evansville, In 'ana �
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I�OTE: R«orded locaily in Boo{c Yo. ___ 4`}________ Page No. ______________. FEE $2.00
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