Loading...
Death Certificate - McClellan, Donald Winfred_8/13/1980� , � � ���.,.�.�, � _ _,. _ � .:�..3�C LOCAL CERTIFIED CITY-COUNTY DEPARTMENT OF HEALTH "a RECORD OF DEATH �. �i:' ci�� of Br�mrille—V�ndarbur�b Counq , �TD ��nno g � �.r - ' Ev�n�ville, Indiao� 1\ ���� aI ' • ' � ' � ° DONALD WINFRED_McCLELLAN , m T6ic is to Ccrtify, that our rernrds >how----------- -------------------------- died �. �i � . �` : g __ MARCH 4 1980 5:30PM _____Deaconess : o --------°--------------------'� ---------°---------- -----°-----°------ � p mont0 dq 1<n Bour ot ds�tE ��, �tree4 Sayit�l w rvnl : j � ' ; � 54 Male - white : Married AFe at death-------- Sea_..-------- Color---------------------°---------------------°----'---'--- ig , lMn . ' i� �rit� whnWr mvrlM or dad� � � • • Shock eritonitis______________________ ____________ ' Primary cauu of de�th Qivrn was_______.____P___________ _----_ ; .., � ' • Abdominal 1Xm�homa ------------------ ----------------------------------------------• ' ' W. L Gentry � � Poseyville,ind. Sined h --------------------°-------=----- -- --------------------------- • � y -•-----pA�.in.n e.)4C1JOr - � .ea.e. � Maumee Cemet�ry � � Owensville,Ind. : � Plare of burial or removal---"--------------------------------- --- --------- ------°------ � _ n�me ef eemeteq , Wdrs� � �' 3-7-80 Holder Fv neral Home Owensville,Ind. � e �)�rc n( burial-------- U--' --------------�y ----'� ------ -------------------'-°--'--'----' i • jen..d D�..eta. .ea� : � : . ^ /� `� —w-�-F ' �- '-�l�-----� ------Registrar. � Si�nrd - - - � � � ------------ - � °0 3-1%- 8� [SEAL] � � EQ�ansville, In 'nnu ------------------_--- � � , a.k 45 9 . ' i s NOTE: HecurdrJ laally in Book tio. -------------- Page No. --------------. FEE $2.00 � . � :�uuwwnumuunuumnnm�wummumummm�nmmnnummnumnun�m�wonure ; .. . , : �; _ � : t- . .. . • _ , , . . � . � . . . ' .., , ' . ,. . . � ,� � . _ ... . - . • , _ . -. - . , :�, . , . .. , ' ' -�: " • . . . , . � � . ,, ; • ,,.� _. • . . , , - , ' . , q � . - � . �� � � . � . • . .. ��.� . , . - � . . . . _ _ .\ � _ - . . . � I • I _ � . . --�--� July LL�17LO. uy �.�-�- ----- .. �..___ _ Recorder of �ibson County, Indiana• � . . � . � - � . T �" , �.. ,. "�J . . . �'.�' ,J� . '! . .. � . , . ' � _ i ' . . . ' . . � i • ' ,. , �., Y:. � . _ . .. ' �P: .. � . .f 4 .♦„, . . , . . . ' C}�. • . , . . '� r . . , . � � h . . .' � .. ; - , . . � . ' . ,��'e 1 � � . . ' -� - . . .` ' ' � . , .. �. • - �' •. � � � �. . . ' ,' . . � � . ' � , . �, . � , . . . . . �' - . .' ..r . _ . . -^ .-- ... - '. .. _ ....a..�. _..-.� 9 f{:�_ 1