Death Certificate - Mann, Donald E_5/6/1999_ U1BSOi\� COUNTY DEPARTMENT OF HEALTH ��� 3� i99F�
800 S. Prince St.
_ . • Princeton, indiana 476�
�p I � _Qh �� 11 , 812-385-3831 -
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� � RECORD OF DEATH
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�THZS IS TO CERTIFY
^ that according to the records of the Gibson County Department of Health,
- , DONALD EUGENE MANN
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Died on 07/08/1998 at 10:50AM
Residence
R.R.#i 3 Box 140
Owensville IN
Age at death . %1 Years
Marital Status: Married
Sex: h;
Color: White
Cause of death: Lung Cancer Brain bietastasis
Sign°d by: Lyle Beard, hI.D.
a21 Chestnut
Evansville IN 47713
Place of burial NIaumee Cemetery
or removal: RR # 1
Owensville IN 47665
Date of burial: 07/11/1998
Funeral home:
S E A L
Holders Funeral Home of
Gibson rotmty, rnc.
P.O. Box 518
Owensville IN 47665
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Signed by ;'t'l�' �'"'yl'l�- '°��°Br�O
Gibsoa County Health�Commissioner
Oakland City, Indiana 07/15/98
Address Date
Recorded locally in Book No. 13 Page No. 68 Filed: 07/15/1998