Death Certificate - Mabe, Otis_7/24/1992t '
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BBCORD OF DE�TH ' , �r
GIBSOti COUti"I�i' DEPART�IE\�T OF HE:ILTH I,
� PRI\CETON, LVDIAVA
THIS IS TO CERTIFY, that our records show
m-c .nnnF died
"'-a=�h 25, 1987 a 7:00 A.M. 1002 S. Gibson Princeton, In.
momh day yesr houroCdeech ,
screec, nospital, n:ral
Age ac Deach °0 Sex Male Co�o�White �farical Sta[us �'��rried
years
write whecher married or single
Primary cause of death e ven was Acute Mvocardial Infarction. ( sudden) "
Siened by Wil
Place of burial or
Date of buris�
SEAI,
R. Wells, M.D.
yhysiciartar coroner
� z.o.o.F
name of ceme[erv
Funeral
Recorded locall}• in book \o. 11 paoe
Princeton,.In.
addiess
Prince'ton, In.
address
°. Inc. Prin�
In. i
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Signe '��!r'/�'��';?G�, isQsJ>
G�bson Couaa� Heal[h Coprmss�oner
� ''• ;�� In. March 30 1987 �
eddress �
date
35 Filed: ��'�-rCZ 30 � 19fi-
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