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Ehat acc;:-;( ' .to the records of,„the Gibson County Department of Health,
^• LOP_ D B ' SCHMIDT .> 1-7-75-37;
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` < ,pled oa 06/27/1993;a€-,_3•:-13i,41,.... \••'" t ;'
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< Gibson General Hospital I _• •' P
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'' ; .1808: Sherman Drive; \ ' -e .,
I , Princeton IN 4767 : . <:
! .Age at death >,..,,•,,,.. ,63 Years'' • ` > =ter' ;/
\ a Marital 'Status: § Married ; Color White �33.- i'
' Cause of death Fatal Dysrhythmia •. Sudden '
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• . .Place?of .burials ColumbiaWhit• \e Church Cemetery .:, 1 ' N " ;�a_
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1r Princeton IN 47670 •Y , '3,:":"--..; _ :
-Date of u�al 06/30/19.9.3 , `t'°• '' `- ,.", '''''1...:: -y. a �, \- .,`1
Funeral , aL Colv}�.n Funeral Home Inc -
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Signed by ��u C /Ja'r�( � - a
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a ,..:14i4/04.-', d + Princeton, Indiana 08/19.114
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