Death Certificate - Land, Alberta_6/28/1985r�
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RECORD OF DEATH
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GIBSON COUNTY DEPARTAI�NT OF HEALTH
��� PRINCETON,INDIANA
TfiiS l3 TO C�RTIFY, thzat our records �how ALBI f3TA LAND _died
9/29/84 at 8: 37PM . Gib. G�n. Hosp,._�'rincet.Qn,_Int1.
month day yenr hour of' death etreet, hoepital, ruml
Age at Death 73 Se� Female ��or Whitett�rarital Status Married _
yeare � . write �whether mnrried or aingle
Primary cause of death gi�•en
Cardioresniratorv arrest
Signe3 b,y—�obert D__50S1f1� M1] Pri n-a1-nn rTnrl
� ' ph}•sician or coroner address • .
Place of burial or removal I.O.O . F.
� nnme of cemetery
Frankton, Ind.
address
Dateofburial 10/3/89 Kenda 1 PrinePtnn, TnA_
EYmeiu] Director nddrcse •
$EAL ,
Signed � y ���� G. /� ���
� Gibson County Health mmiaeioner
Oakland City, Ind. 6/25/85
address dete
10 12y 10/1/84
Recorded locally in book No. �age No. ��ed: