Death Certificate - Rumple, Hazel_5/29/1985tBCORD OI' DEATH � �
GIBSON COUN7'Y DEPARTI�IENT OF HEALTH
' PRINCETON, INDIANA � � .
iH1S IS TO CERTIFY, that our records show HAZEL F. RUMPLE ��
S/14/85 at 3:30PM Gib. Gen. Hosp. Princeton, Ind.
month day year hour of death : atreet, hospifal, rural
1ge at Death �9 ��� Female ��or White Tq�� Status Married
yeats ' . write whether married oY eingle
'rima�y cxuse of death given �v�
Primary adenocarcinoma pancreas with metastasis
to liver ..
;igned•by Bruce C. Brink Sr. DO Princeton Ind
" � phyaicien or coroner addmsa � . _ �
'lace of burial or remova� Lebanon Midland, Ind. �
� � . � name oY cemetery . . address .. . ' -
)ate of burial 5/17/ 85 Colvin ' Princeton, Ind.
' Fhneral Director address . � _,
S�n�
S��
cv���.� .��
- - , G:b�on Conn!y Health mmiasioner
Oakland City, Ind. 5/28/85
addreas date
;ecorded locally in book No. 10 Page No. 19 6 Filea; 5/ 20 / 8 5
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