Death Certificate - Bajzath, Anna_3/13/2001GIBSON'CQ��1TY DEPARTMENT�'� HEALTH
- S00 S. Prince St.
Princeton, Zndiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
ANNA SAJZATH
Died on 03/O1/2001 at 9:15am
Good Samaritan Nursing Home
210 Gibson
Oakland City IN 47660
Age at death . 75 Years
Marital Status: Married
Sex: F
Color: White
Cause of death: Acute Hemmhorage (1 day), Pancytotenia,
Type II DM, Parkinson Disease,
Cirrhosis
Signed by: Terry Gehlhausen, DO
Hwy 64 West
Oakland City IN 47660
Place of burial Montgomery Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Oakland City IN 47660
03/OS/2001
Lamb-Basham Memorial Chapel
226 E. washington
Oakland City IN 47660
Signed by � G' ��<'���
Gibson County Healtil C� sioner
Recorded locally in Book No. 14
Princeton Indiana 03/09/O1
Ad ress Date
Page No. 5
Filed: 03/09/2001