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Death Certificate - Kissel, Eileen R_2/19/1980ItF:COitll OF DEA1'f[ A � GIBSON COUNTY DEPAI:T\f�NT OF HEALTH ' PRINCE'I'ON, INDIANA � THIS IS TO CERTIFY, that our records show EILEEN R.KISSEL died �3f80 At 12:SOPM Gib. Gen.Hosp. Princeton� Ind. month dny year hnur of deat6 atreet, hoapltal, rural Age at Death 5� Cex Fe• Color wh• Marital Ststux Married Y�� write whether married or eingle Primary cause of death given was Pulmonary embolism � e;�„r y�, Wm. Wel�s, M.D. Princeton. 7.,d, .. .__ __ physician or coroner nddresa - Place of burial or removal ' St. Joaeph Princeton� Ind. name of cemetery' address Date of buria► ��80 Colvin Princetnn,r, Ind. • Fhnerol Direotor oddrees __ , . • � � � �v �-�� , , . . � SEAL }�� ..�-; • ,( ,� �.(=�:!' �.� �L�� Sign Gi6son County Health Co issioner � Oakland City,.Ind. 1/8/80 �� ' " a8� Rceorded locally in book No. 10 page No. 1 �ted: 1�8�8� S.Y,,.� _ - . _ — ------r-�^.,--------�. .. : .,.--.�.�.,.�..:....,.-., , , . . . . ' . ' . � � - �F' . - . � . - . . .:. i .e. ' � ' . •�� .. ,. . . _ . _• . ' . ., . � . . ' . . � ... .. . . �.. . � , � . • .. .. � . . , . . . ' � �. . � .. . .. . . .y' . ' . .. . . _ . • ;.,f. _' ., . . ., . ; . . � _ . . . .. �r . � ... ... , . �. . . '.. . , ' . "1_ r _ . '� � • . . . .. .. . � , . i' . . � . _ . . . - . ' ..