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Death Certificate - Wallace, Sharee_1/6/1984__ , . �: - <. . _ . ' � -...- - - � , � , r ;;; ;. ' • RECORD 0F`DEATH , :� '—_—� — --- — f ;�., re�.. _,,. GIBSON COUI��TY DEP4RTn1EI�TT OF HEALTH �E`�`�' PRINCEI'0?�, INDIAN:1 , . - .�. E:, _ - �t . . TFIIS IS_TO CERTIFI, that our records show SHAREE_A._WALLACE : _.i� _!�a�.r.. - s _ _ _,__ -- - died a/�/R� � at 1pQ�y Gib. Gen. Hosp. Princeton, Ind/� �ri�rE=•••, '��y' � veai__ houi of death ' ' ••� strnet, hospital, rural ' month=da _.,_. , _ - •i. hosuital, :ura] � . . � Age at Death 49 Ces Fa Color �-T-�qarita]-Siatus—•-- ' --� --•- :fuS--__ �_years.= :: a-rite �chether mame or in le a-r'..e a�ceth" ^":':e.' . ' , ° B Primary cause of death given a�as Cancer of Luna � Signed b}- Jam s F Par-k � Mn . ' � .. - - - .� _ _ phpscian or coroner � a dmss _aJ_ : i • Place of burial or remo��al n^anl P y; 1� — pYl T�g����� -- p; ; .:•. -t.a^ -. _ ^ '+ _ . _ name of cemeten� - . address . . ' '_ .. . zat�i.. , ' ' '-- .. Date of buria] 4�9/$2 Colvin Prinr � rnd _-' -- --- - - -- .... ,. � . f�neral Director . . - .. .: r. ' � �. . address ` .. . - - ='-�T"'-� . .. - �.. . . , . . . . . ^j � ��j 'ili/'{�.�.. � :/ V(/�'��i�� .l�i% � SE9L .'`�_, -. Si�� � � - — - --- Gibson Countc Health Commissioner � • �..�.- Na'�>. r-[:._:� ( ... � Oakland City Ind. 10/5/83 _ -:, �i'!� ; - .�.._ . � - --- - - --- - addze�. � - dace >'. � Recorded localh• in book No. 1 � page I�'o. 6 9 lFtiled r y4 / 1 2/ R 2 —�I_.+21� � --