Death Certificate - Broshears, Ernestine M_6/28/1994�
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G=BSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O RD O F D E AT H
THIS IS 7'0 CERTI£T
that accarding to the records of the Gibson County Depart�ent of Health,
ERNESTINE M. BROSHliAR3
Died on 02/17/1994 at 5:15 PM
Owensville Convalescent Center
Hwy 165
Owensville IN 47665
Age at death . 84 Years
Marital Status: WidoWed
Sez: F
Color: White
Cause of death: Respiratory Failure, Sepsis,
Degenerative Brain Disease.
Si�ed by: Quentin B. Emerson, MD
802 E. Oak St. P.O. Box 185
Ft. Branch IN 47648
Place of burial Walnut Hill Cemetery
or removal:
Ft. Branch IN 47648
Date of burial: 02/20/1994
Ftineral home: Stodghill Funeral Home
S E A L
304 W. Locust Street
Ft. Branch IN 47648
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Signed by _ _
Gibson County Health Commissioner
Oakland City, Indiana 02/23/94
Address Date
Recorded locally in Hook No. 12 Page No. 86 Filed: 02/23/1994