Death Certificate - Kruse, Edwin C_3/16/1983�
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lt13COFtll OF UE:l7'H
GII3SON COUNTY DI�PAI{TMET"f OF H�ALTH
1�'R1NCE7'ON. IKDIANA �
THIS IS TO CERTIFY, thnt our records sho�v EDUlII4,C.._liRi��F died
1()/30 79_._;�t 12:O5PM Gib. GE�7,.H9�p., 1'rinrPt.on,._Ind..
month duy year hom• of death street, hospitrtl, rurul
Agu at Denth $1 Se,� Male Color Wh• Marittil Status A1:�rriad_
ycars wrile vwhethr.r mnn•ied or single
f'rimary cause of death given was �xsanguinating gastro intestinal bleeding _
run . Rumar; NfU�'or
S.b����,�}, Hassan Rayes, M.D. Princeton, Ind. __
physician or coroner addresx
Place.o:P Lw•ial a• remo��al St. LuCas __ Ft. Branch, Ind. ___
. namc of cemetery� � address
�t��gy,;>> Ft. Branch,Ind.
Date of buri:il___llf��9 --
Puueral Airectur . address
SE:V.
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.rr_ . •m .-` ' �. Slgt10C� � 'L C/. �% : ( .G
� ' � � � Gibaon County Health Com�ni9siuner
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Oakland` Citv. Ind. 1 /��c�
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Recorded locally in book No. '� 9 ��� Page.No. 92 Fi1ed: 11/26/�9 Y_
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