Death Certificate - Wilm, Lonie S_7/5/19839
R£CURD OF DEATH � •
GIBSON COUN'CY llLPAkTI�1ENT OF H�ALTH
� . . PRINCET02�, INDL4NA
0
7'l(IS l6'CO CERTIFY, that our records show _ LONIF. S. WILM __ • d��
6J16/83_ at 2:�15PM Gib._Gen. Hosp_ Princeton, Ind.
monch dap year �hour�uf death ^street, hoapital, nral .
Ay;� ai Death�88 S� Fe. Color Wh• Marital StatuA Single
yeare - write whetber married or single
Arteriosclerotic heart disease sudden
Primary u+use of denth given was__ __ _'___ =
Siqned by__ Harold Petitjean, MD•
. phy�cian or coroner
Plt�ce of burial or remova� St. Jamas _ RF
� name of cemetery
DaLeofburial___6/18/83 Wade _ _
Ewneral Director
SEAL
Haubstadt, Ind..
addmss
i Haubscad'c', Znd.
address
Haubstadt, Ind. _
address
Lri�;�/� � . ��, .
s;�a� .
' � Gibeon County Health Comm�ssioner
Oakland City, Ind. 6/28/E3
addreas date
Recordeci locelly in book No.-- l�age No. 9 5 �led :.__ 6/ 2 8/ 8 3
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