D A V I E S S  C O U N T Y  H E A L T H  D E P A R T M E N T
303 E. Hefron Street
Washington, Indiana 47501
(812) 254-8666
R E C O R D  O F  D E A T H



THIS IS TO CERTIFY
that according to the records of the Daviess County Health Department,
FRANCIS MARION BLINE
Died on 11/11/1899 at                      Age at Death: 62 Years 10 mos.
        11/07/1899                         Born: not stated in Indiana
                       Washington, IN      Occupation: Laborer

Sex: M      Color: White      Marital Status: Married -----
Cause of death: appendicitis   Duration: five weeks
Father: Isaac Bline    Born: Virginia
Mother: Rachael Stone  Born: not stated

Signed by:        J. L. Moore, M. D.
                  Washington, IN

Place of burial
     or removal:  not stated in Daviess County
     
Date of burial:   November 8, 1899
Funeral home:     not stated
                  M. L. Bonham's Sons

               Signed by     [stamped signature of Robert H. Lang M.D.]   
                          Health Officer, Daviess County, Indiana
     S E A L
                              Washington, Indiana     04/25/00      
                                  Address               Date

               Recorded locally in Book No. CH-6      Page No.   48  H-12 page 2
                                        Record 24        on 11/07/1899

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Please write to the Daviess County Health Department to obtain a copy of this death record with the Health Department's seal on it. A copy is $5 payable by cash or money order; you need to include the name, date of death, age at death, and place of death in your request. Also, include the Book No. and Page No. of the record.

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