Death Certificate - Martin, Lula_8/29/1989\"
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RECORD OF DEATH
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GIBSON COUNTY DEPART\tE1'T OF HEAL7'H
rii�n�cF:�ro�v. i�tiuinNn
THIS IS TO CERTIFY, that our records
'ly!t�;i[wi�l
November 21, 1965 a� 1:00 P.P1. Gibson General Hospital Princeton In
month day year hour of denth street, hospital, rural
Age at Death �$ Sex Female Color ��hite �larital Status Pfarried
years write whether mertied or single
Primary cause of death given was General and Bile Peritonitis ( 3--4 Days) .
Perforation of Sell Bladder ( 3--4 Uays).
Signed by_ 0. McCarty, Pf. U.
physician or coroner
Place of burial or removaL Somerville
name o( ceme[ery
Date of burial November • 24, 1965
� t� ` °` ri Furieral U'vector
, :Fa.
.� _ . . . �. `.Y ; .
SEAI._ .
Recorded locally in book \'o. � page
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Corn Mortuary
116
Princeton, In.
address
Somerville, In.
address
Oakland City, In.
address
Signed ��,Aj�jo�'L/C j°� a.Iti,�J
G�bson County Health Co� issioner
Oakland Citv In AuQUSt 29 1989
eddress date
November 29, 1965
ied
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