Death Certificate - Thies, Anna_5/8/1978•
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• RECORD OP DEATH `�
CIBSON COUNTY D�PART114rN'C Or HEALTH ' I
PRINCF I
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TIIIS IS TO C�RTIFY, that our records show � r' �
—A_I�Ilu.4�'}{���- .
_7 ?�N�Lg� "� diec
month 2`--`lt_�-'-Z.QPM
aav yo:xr �,ou�� ot dcucn Gi:b..—Ge.xi..7{o,;�'--� �n •
strect, ho pitul�rural�' ���"�-------
Age at Dc�ith__ 6'i Sex._F�. ColorJr,Ih.,�yI21•ital Status�
seaTS -----______ Ma�ried
Pl'i1'na1'y CaUSe OP ciCai;h given �vas__ Ge"era11�e�c� Carcinomaii6si5 Write whether married or single
Signed by----__R _E.--4UeitoAi nn n —
physician or coroner ^'��-"��'—�D —�'��52��+� T,.a �__
address
P�ace of burial or removxL_ �t• Anthon
y Effingham, I11.
nnmc ol' cemetmy
�/28/do .,da�•�95 --- .
Dute of burial_ COlvin & Son
Funeral Director Prine_eton, Ind.
address � i -'—
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SEAL �•(/� v��� G:/i">',� ,�, i�.; ��-!.-� �2,��i
Signed__ � �'� � :
- Gibson County Henith CIIommissioner ---�- �
— �ak--- 1- a—riflCitYr Irid.l� 5/�g
addresa I I
Iiecorded locally in bool: No. 7 II �°�c
-----__Page No.,_Filed: 7�3�/60
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