Death Certificate - Miller, Janie_2/15/1980iu•:coicu i�r• i,r..���ii s
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GIBSON COUN'I1' DLI';�RTAI�NT OF HLALTH
ri��xceTOx, »n�,�r�a
TFIIS ]S TO CI'sRTIRY, thlt our records
JANIE A. MILLER
—�!_15L80_ 1t 11;��AM ___ Gil�� G_�n. Hosp. Princeton. Ind
month clay y¢ar hour of death street, hospiisl, rural
Age al Dcaith 66 $e.� Fe. Co�or Wh. l�q��tal Status Married �
Y�15 write whether married or single
Primar}� cause of death given
Signed by
Place ot bm•ial or
Date of burial___
SF.:�L
stive Heart Failure
R. E. t4eitzel, MD
physician or coroner
•emoval I .O.O . F .
name of cemetcry
2//8/80 Kendall
�neral DirecWr
Princeton, Ind.
address
Princeton, Ind.
address
Princeton, Ind.
address
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Gibson County Health Commiavioner i
Oakland Citv, I*?d. - 11 /? 6/g4
addmss � ��
P,ecorded locally in book No. 10 Page I�To. 4 Ftil�: 2/19/80
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