Death Certificate - Martin, Carl_8/31/1992� � �
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� GIBS,ON COIJNTY DE;I�ARTMENT OI' HEALTH
_ � B00'S. Prince St.
; � Yrinceton, Indiana 47670
• 812-385-3831 •
.. . � ��q.0(7
RECORD OF DF.ATH �,�0�
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THIS IS.,TO CERTIFY
that according to the records of the Gibson County llepartment of Health, �
- CARL A. MARTTN
Died on 08/13/1992 at 3:10 A.M.
Residence
R.R. ; 2 Box 169
Naubstadt IN 47639
Age at death : 93 Years'' Sex: �t
Marifal Status: `tarried Color: W
Cause of death: CHF Chronic Renal Failure
Chronic Obstructi��e Pul. Disease
Signed by: William A. Mullendone, �1.D.
Evansville I\� 47710
Place of burial Sts. Peter & Paul
or removal:
Haubstadt I\� 47639
Date of burial: 08/17/1992
FLneral home: Wade Funeral Home
119 Vine Street Box 237
Haubstadt 1N 47639
S E A L
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Signed by 1 ; - �L��� ,A4��'__
Gibso 'C uhty Health , issioner
Oakland Citv, Indiana 08�6�
Address Date
Recorded locally in Book No. 12 Page No. 45 Fi1ed: 08/26/1992