Death Certificate - Robinson, Inez Marie_12/1/19871 � . . . 1: � � (
RECORD OF DEATH : `�.•' , ,. � • . i' '�
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� GIBSON COUNTY DEPAR7'1�IENT OF HEALTH �! � �!
' � PRINCETON; II�DIANA . ('� ,�
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TH1S IS TO CERTIFY, that our records show INEZ MARIE ROBINSON died 1�'
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Ju^e 8 1984 at 4•00 A.M. R.R.#1 Ft. Branch, In. !•��
month day peaz hour of death � , street, hospital, rural . � 5�
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Age at Death �9 Sex Female Color �ahitenqarital Status Married ;
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, yey� _ wzite whether married or aingle
Primary cause of death given wa� • Mycardial infarction, instant ASHD (yrs. ) _�
Signed by Glen O. Dickenson, D.O.
physician or coroner
Place of burial or removal �aalnut Hill �
' name of cemetery .
Date of burial— June 1? , 1984 Stodgh�.11
F�neral Director
SEe1L
C•.:e-=°�i' 1°, In.
address
Ft. Branch, Zn.
address
Ft. Branch, In.
address
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Sign �.YJ���mY�""'`�,/�iTf i
Gibson County Health C ' sioner
Oakland City, Zn. September 8, 1986
address dace
Recordedlocally in Uook \o. � n Page No. �?? Filed: September 13, 1989
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