Death Certificate - Anslinger, Frank_6/25/1999. � - �
RECORD OF DEATH
GIBSON COUNTY DEPART�IENT OF FiEALTH
PRI;ICETO�i, NDIAN2.
THIS IS TO CERTIF'Y, that our records show / h-- �'� ��dfd�
/I month day Year
V
Age at Death Se�
}•ears
Primaz•y cause of deatli given was—
Signed by�C�
Place of burial
Date of burial
SEAL
phpsician
n�e of cemetery•
��
Fwneral Director
P• � ��-a .. ./L�-7 ��.�-�(
hour of death stteef, hospital, rural
�� � ��i i �
�crite Rhether mamed or smgle
` address "
. �.
Si •
Gibson Cou ty Health Commissioner
address � date .
Recorded locally in book I��o. l'� age I3o. `'�—°-- I— /�� �O �
. . � ��