Death Certificate - Kimbrough, Samuel T_1/11/1995� �
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=00 :i. Prince St.
Princ�tuu, Indiana 42o7U
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THIS IS 'f0 CERTIFY
that according to the records of the Gibson County Department of Health,
SAiAUEL T. KIMBROUtiH
D�ed on 03/18/1'�44 at li:"LO ?M .
Gibson General Hospital
IoOS Sherman Drive
� Pr�nceton IN 47670
Age at death . 30 'fears Sex_ M
Marital Status: Marr�eo Color: Whiie
Cause oi dea'th: Uremia, Kena� Fei;ure, Malnutrii�on,Ma.jor Uepress�on
A:;tio
S�gned by: Arun C. Kumar', rtU
105 v. 2nd av�.
Pr�nceron IN �%570
Piace of burial Cotumoia WRite Ci�urch Cem?cery
or removal:
?rinceton tA! ;7670
Date of burfal: 03/21/135a
Funeral home: Celvin Funerai Home, Inc.
425 N. Ma�❑ St.
�rincecon IM 176'r0
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Siqnea by N/�!��1� ��'�
Gibson CounCy Healt 'ommiss�oner
Oaklana Citl'. _Indiana ti?i2tii94
Address Date
;tecerozo iocaiiY in Bonk.P�o: 12 Pa9e f�o. 38 Fited: 03i25/iyy�
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