Death Certificate - Phillips, Marion Caroline Stumpf_11/5/1976� -'
RECORD �Or DE_1TH
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GIESON COli\'I'Y DL:PARTIIENT OF IILALTH
" PRINCETON,INDIARA
TH[S IS TO CPRTIFl, that our i•ecords sho��• M.9RTQ`��ABOLI*?e. STU�?PF P??ILLIPS died
or.t. �, �g�h at-1.1_s_39Pr� Gib. Gen._i'.osp. Princeton. Ind.
� � month dap . pear liour of death � street, hospital, ivral
` Age at Death 53 Sex Fe • Color%'r!� • �Iarital Status h'arri Prt
' , ccars " .' . . - «z•;ie «�heU�er msn•ie3 or-s;.-�giz
` Primary cause of deatli given �vas hiasslve �astro intestional bleedina with
' , irreversible shock
Signed b5- R. E. :Jeitzel', ^?.D. Princeton, Ind.
phi�sician or coroner address .
Place of burial or remo��:.l I.O.O.F. PrinC�to�- Tnd.
name of cemetery� address _
�Date of tiurial "� 10/10/76 Colvin S Son P�nceton�IrSi.
Funeral Director address
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SEAL Signed , �'
. . GiUson Gounty Heatth CommfsSioner
oaklana city, z.,a. io/iu/76
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