Death Certificate - Skinner, Bernice_9/17/1990G I BSOTf
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COIANTY DF_F'�AR'1'MET�!'T OF
300 S. Prince St_ ��.
Princeton; Indiana 4'/f7U
812-385-3831
RECORD cJF DF_7-�TFI
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Fi F R L.'1' H
THIS IS T'0 CERTIFY
that according to the records of the 6ibson County Department ot Ftealth,
BERP7ICE SKINNER
Died on 04/28/1990 at 1:10AM
Good Samartian Nursing Hom�
210 N. Gibson
Oakland City IN 47660
Age at death: 84 Sex: F Color: White Marital Status: Wido�+e�i
Cause of death: Acute Myocardial Failure; (10 minutes) ''
Nodular Lymphocytic L.ymphorna (9 ye�rs) ,
Congestive Ileart Fai I�ire � i:
Signed by: William E.Dye, MD
412 Main
• Oakiand City IN 47660
Place of burial Spur-geon Cemetery
or removal:
Spurgeon IN
Data of burial: 04/30/1990
Funeral home:
S E A L
Larnb-Basham Memorial Chapel
226 E.•Washington
Oakland City IN 47660
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. S i gned bY ----- `� / _`'Ni �'��'��-----
� " Gibson CounLy Health Comnissioner
Recorded locally in Book No
OaY.land City, Indiana O5/03/90_
Address Date
11 Page No. 114 Filed: 05/03/1990
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