Death Certificate - Klump, Mary A_12/18/2001. ,
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G�ON COUNTY DEPARTMEI.OF HEALTH
800 S. Prince St.
Princeton, Zndiana 47670
812-385-3831
RECORD OF DEATH
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_ _ THIS IS• TO CBRTIFY
' that.according to the records of the Gibson County Department of Health,
MARY A RLIIMP
Died oa 03/10/1983 at 3:Slp
Owensville Convalescent Center
Hwy 165
Owensville IN 47665
Age at death . 58 Years Sex: F
Marital Status: Married Color: White
Cauae of death: Respiratory arrest, (immediate), progressive debility,
Malignant melanoma
Sigaed by: Terry A. South, M.D.
Poseyville IN 47633
Place of burial St. James
or removal:
Haubstadt IN 47639
Date of burial: 03/14/1983
Funeral home: wade Funeral Home
119 Vine Street
HdubStddt IN 47639
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Signed by
Gibson County Health Commissioner
S E A L
PrinCetOR, Indidnd 12/17/O1
Address Date
Recorded locally in Book No. Page No. 87 Filed: 03/18/1983
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