HomeMy WebLinkAboutDeath Certificate - Vanmeter, Arba Andrew_4/16/1979t
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►zrcoiin o�� DEATH • �
GIBSON COUNTY DEPARTiliC\T OF HEALTH
PRINCEfON, INDIANA
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TIIIS IS TO CERTIFY, that our records show ARSA ANDREW VANMETER d��
2�2�75 At 8AM RA #3 Oakland Clty� Ind.
month day year hour of deuth street, hospital, eural
Age at Death 57 Sex �.lg Color�l�Marital Status MaTTied
yeare write whether married or einglc -
p Primary cause of death given was Cerevarg eC4luslon }
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� Sisned by ne+++ pi r_ q�r� �x, no RR #i i,y�n _vt � i e� Tnd. �
j phyaician or coroner addrnss ��'
; Place of burial or remova_I MQntgomery Oak anA C� *y� T�� i
; natne of cemelery 8d�y�
� Date of buri� 2/5/75 Pemberton P.O. Boz ?5 I,ynnvill�, Ir.d. R
F\tneial Director eddress
SEAL
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Signed �
Gibson County HealN Commisaioner
Oakland City, ind. 3/i/�6 �
8aare� �� �
Recorded locally in book No. Q�2 page No-1_Fited:_ 2/4/75
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