Death Certificate - Phillips, Eva Rose_9/7/1979a
;:RCORD OF llEATH
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GIBSON COUNTY DIsPARTMEN'f OF HEALTH
YRINCF.TON, Ih'DIANA
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THIS IS TO CERTIFY, that our recorda show EVA ROSE PHII�I,IPS
I1/1/71 a+ 8AM 422 Walnut St. Oakland City, Ind.
month day year hour ot death etmet, hospital, turnl
Age at Death 66 Sev Fe • ��or wh • Marital
yeare .
Divorced
write whether married or single
1'rimary cause of death given was Arteriosclerotic heart disease
SiKned
H. A. Peters, DO Oakland City, Ind.
physiciun or coroner addmss
Pl:�ce of burial or mmoval__— Montgomexy __.__Qakland.._C.i�Y�I� -�
namu o[ cometery addresn �
T?ate of Uurial 11�3/71 Lamb-Schmetzler Oakland C� tv. Ind.
FWnenl Dimctor sddrrss
SEAL
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Gibson County Health Com ioner
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H- 5i 20Ftiled : 11�5�71
'.?ecorded locally in book No page No I
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