Death Certificate - Oursler, Otto O_4/22/1983';
RECORD OF UEATH
GIBSON COUNTY DEPARTMENT OF HEAL'IH
, . PRINCETON, INDIANA �
THIS IS TO CFBTTFY, that our recorde
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�.' _3 16 83_._. 8t 12 midnight _____ _. Gib._Gen__ Hosp: A Princeton, _Ind. �i
' � month day year hour of dcith _ � etreet, hoepi�al, nral. �
,' � Age at Death 8 9._Sex I"� • Color �• Marital Status ! M. i
' yeare write wheCher mnrried or aingle j
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Primar,y cause of death given
Hypostatic pneumonia
Sigued b,v �• C. Arink, Sr. , DO Princeton, Ind.
- . phyeician or coroner addrens �
Place of burial or remova� I.O.O.F_ Princeton,_Ind.
name ot cemeten• � addreos
Date of burial 3/19/83 Colvin Princeton, Ind.
' Nl�neral Director addreue
SEAL
�i(% ��r't1 � � , /y,?J S
ied �
Gibaon County Health Commiseinner .
Oakland City,�Ind. 9/4/83 •
addrees • . � date
Recorded locally in book No. 7 n__p8ge No: 88 �led: 9_/_4./_83_
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