Death Certificate - Tepe, Brittie_10/7/1980ZECORD OF DEATH � �
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GIBSON COUI�TTY DEPARTMENT OF HEALTH
PRINCETON, INDIANA
'HIS IS TO CERTIF'Y, that our records show BRITTIE TEPE died
3�6�80 ' at 4%35PM Gib. Gen.Hosp. Princeton. nd.
month day ' year � hour of death street, hospital, rurnl
�gc, at Death �6 Sex Fe' Color wh' 7�iarital Status Marr� d
,; t -�YeB� � write whether married or single
'rimary cause of death given was ACUte congestive heart fa; lnre
figned by-_ R. E. Weitzel, M.D. Pri nratnn ���}
physician or coroner address
'lace of burial or removnl �ite Church Pr�nn�pnri���
name of cemetery address
iate of burial 3�10/80 Colvin Princeton Ind
�neral Director address
SEAL
:ecorded locally in bool; AT
10
�t���nr���% � �o
Signed
Gibson Covnty Health C issioner
Oakland City, Ind. 3/12/80
address dyte
No. 6 Fi1ed: 3/11/80
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