Death Certificate - Milburn, Lucille Marie_8/26/1975_
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_ RECORD OF DE:1TH � � .� - � ;
GIBSON COliNTY DEPART\IE\T. OF HP�i.TH /' •
PRiNCETOti, INDI�IN�1 . - _ •
THIS IS TO,CERTIFY, that oui• recmds sho« LUCILLE MARIB MILBUFiN.�`' -- die
Aug. 16�, 1975 at �� 05PM Gib. Gen. Hosp. Princeton, Ind. �_ ��
. month day yeaz , hour of death street, ]iospital, rura! �. " �
�ge at lleath 6� Sex FRmal,e__—Coloi•—Wh1-t�_—nfarital Status Htn,.�,E�
. years ��•rite whether married or sing
Primary cause of death gicen was �9S9n2Tp thromho9l� l _
Signeci uy �'ir�il MaCarLT, M.D. Prirc�ton. In3. _
ph}�sician or coroner address .
Place of bui•ial or i•emoval SomexvLlle SpmPrvt].1PTT�1ri.
- " name of cemeter}• _ address - - - �
Date of Uurial_ 8�19�75 Corn MoTtuary OakLs���ltg._Ind.
. . Funeml Directur � address � - �
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Gibson County Health Com issioner
: Oakland City� Ind. • 8/20/�j
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+ Recorded locally in book No.-9 Pae�e No.-1�Filed:=fl�QO��i —
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