Death Certificate - McDonald, Grace_1/28/2002�
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_ GIBSON �UNTY DEPARTMEI��OF HEALTH
. 800 S. Prince St.
- Princeton, Indiana 47670
' 812-385-3831
RECORD OF DEATH
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� THZS IS TO CERTIFY
, that according to the records of the Gibson County Department of Health,
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GRACE EVELYN MCDONALD
Died on 12/21/1996 at 10:26PM
Residence
R.R.# 1 Box 147-A
Owensville IN
Age at death .
Marital Status:
78 Years
Married
Sex: F
Color: White
Cause of death: Progressive Metastatic Breast Cancer, 6 Months
Breast Cancer, Infiltrating Ductal, 8 Years
Pleural Effusion
Signed by: Daniel Shirey, M.D.
611 Harriett St. Suite L100
Evansville ZN 47710
Place of burial Oak Grove
or removal:
Owensville IN 47665
Date of burial: 12/24/1996
Funeral home:
S E A L
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
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Signed by ����� �'�'�
Gibson County Healt Commissioner
Oakland City Indiana O1/02/97
Address Date
Recorded locally in Book No. 13 Page No. 28 Filed: Ol/02/1997