HomeMy WebLinkAboutDeath Certificate - Sensmeier, Oscar W_3/3/1983RECORD OF DEA1'H a
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GIBSON COUNTY DEPARTMENT OF HEALTH
PRINCb'TON,INDIANA
THIS IS TO CERTIFY, that our records show nG�AR w SFNS[J��R died
2/17/R3' at F:��AM ��i�hct,adt, Tnc3.
month day year hour of death street, hospital, rural
Age at Death 7$ Sex M. Color Wh . Marital Statua M.
years write whether married or single
Primary cause of death given was Thrombosis right coronary artery
Signed b�� E. D7ason MD Evansville, Ind.
physician or coroner address
Place of burial or removal Sts. Peter & Pau1 Haubstadt, Ind.
name of cemeterc addrnss
Date of burial z/19/83 Wade Haubstadt, Ind. _
F�neral Dirnetor - address
SEAL
v�/ �'��1 G. � . ki,?'f
Signed
Gibson County Health Commissioner
Oakland City, Ind. 2/24/83
addrnss
Recorded locally in book No. 10 Page No. $ 5 �led: z/ 2 4/ 8 3
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date