Death Certificate - Reinhart, Agnes_7/29/1986RECORD OF DEATH
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GIBSO\T COUN1'Y DEPARTIIIENT OF HEALTH
PRINCE°PON, INDIaNA
THIS IS TO CERTIFY, that our records
AGNES MARIE REINHART
June 4, 1978 at 1:00 A.M. 307 AT. �+Iest St. Ft. Branch, In.
month day year hour of death street, hospital, rural
Age at Death 59 Sea Female ��or WhitenSarital Status Married
9�� write whether married or eingle
Primary cause of death given �vas_ Metastatic Carcinoma of Breast (20 Mos. )
Signedby Charles M. Sinn, M.D. Evansville, In.
physician or coroner address
Y
Place of buriaT or removal Holy Cross
name of cemetery
Date of burial June 7, 1978 St
F�neral Director
SEAL
Ft. Branch,
address
Ft. Branch,
address
f�
In.
�il��ani ��,�4,?!
Signr�
Gibson County Health Coemmissioner
Oakland Citv, In. Julv 28, 1986
address date
H-52 44 June 13, 1978
Recorded locally in book No. page No. F'iled: