Death Certificate - Wise, Marie L_5/15/19844 �.��
RECORD OF DEATH � �
GIBSON COUNTY DEPARTMENT OF HEALTH
PRINCETON,INDIANA
THIS IS TO CERTIFY, that our records show MARIE L_ wrSF died
April 27, 1984 at 6:OOPM RRr2 Princeton_ Tnrl;ana
month day yesr honr of death street, hospital, rural
Age at Death 74 Sex Female Color White Aq�tal Status Married
years write whether married or siagle
Primary cause of death given �ca Chronic congestive heart failure
Signed by William R. [aells M_n prin��ken-, �n��ana
physician or coroner address
Place of burial or removal Fairview Rit princeton, �nd<ana
name of cemetery address
Dateofburial 5/1/84 Kendall Funeral H�ma Princeton, Indiana
F�neral Director addrnss
— SEAL -
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G���� ,��
- Signe�l
Gibson County Health Commissioner
•. ..�� �• .�. • :•
10 119 5/3/84
Recorded; locally in book No. page No. Ftiied: