Death Certificate - Repp, Elmer L_4/16/1985:liCOItU Ol� llE.11•11 �"
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G1BS0?�T COUDITY DI:I'ARTiIiLNT OF HEALTH
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1'RINCETON, INDIANA . O� � \'�
HIS 1S 7'U GCI:'fIFT, that our records show__ Elmer Louis R�pp `�
---died
Jiily__ 11 ___ 1984at___10:20 P.bi _
munth a��� year hour ot death --"--�-'—"------- Gibson _Gen_eral Ilospital
street, hospital, rurai —
ge at Dcath 71 Sex Male �,��rtqhite n
yea�s Iarital Status rlarried
� write -.vhether murried or einele
im:u>� cause of dcath gi��en
Cardio Respiral-ory Arrest
;;necl Iry_. Rol�ert_Bond_"'...�._ Princ- ,
h s��ian or coroner ��Q�Iu��na
- � N y � adclress ,
:�re oC I,uriai or remo�_al St. Peters .Cemetery St_L i � '
name of cemetery �-�--�s—Mo. .
. address
de of huriaLJuly 14 ' 1984 Hutchens Mortuar_y 675 Graham Rd Florissant n�p,
� F�neral Director - addtess •
: SE�V.
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Signed " " '"�/ ta�'t9 Cr. �!'r,?J
_ Gibson County Health Comm sioner
Oakland Citv Indiana
addmas ' . ��
.orded locxll�• in bcok Nu. .10 Page No. 1�� Filed: 7 23 84
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