Death Certificate - Blum, Flora Eleanor_4/8/1986�
RECORD OF DEaTIi �
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GIBSON COtiNTY Dr:P�1RT_1fENT OF HEALTH
PP.INCETOV, INDIA\A
THIS �S TO CERTIF'Y", that our records show
FLORA ELEANO?2 BLli^i
Feb. 7, 1986 at 7:40 P.�?. Gibson Ge*�eral Hosoital Princeton, In.
month day yeat hour of death street, hospital, rurnl '
�ge at Death 91 SeY Female Color White �SariEal Status ��idowed
years write whether married or �nele
Primary cause of death e ven �v�s Conaestive Heart Failure (several dacs)
Uremia (wks) Gram \Te�ative lirniarv Tract Infection
Signed by-- i^iiiiiam R. iveils, t-i.D. Prir.cetor., In.
. phyeician or coroner address
Place of burial or remoeal Plalnut Hili
aame ef cemeterp
Ft. Bran
address
Date of bu*ial `'ebruarv 10, 1486 {endall Princeton, In.
Funenl Director address
SE aL
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Signed �c%�i✓f �-�Rr �� _ ��p ,r":i?
Gib;on County Heai[h Commissioner
Oa�land City, In. 2/27/36
�ddress �,z
Recorded locall}• in bool: \o. 11 Pave \o.s �led: Februarv 27, 19s,6