Death Certificate - Beloat, Opal M_1/11/2007GIBSON COUNTY DEPARTMENT OF
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
TH
THZS IS TO CERTZFY
that according to the records of the Gibson Couaty Department of Health,
OPAL M. BELOAT
Died oa 07/10/1995 at 12:O8PM
Gibson General Hospital
1608 Sherman Drive
Princeton ZN 47670
Age at death . 79 Years
Marital Status: Married
Sex: F
Color: White
137559
Cause of death: Right Hemothorax, Pulmonary Contusion/Right Rib Fractures,
Blunt Zmpact Trauma to Chest
Manaer of death: Accident
Signed by: Scott Stodghill, Coroner
304 W. LoCUSt St.
Ft. Branch IN 47648
Place of burial Columbia 4ihite Church Cemetery
or removal:
Princeton IN 47670
Date of burial: 07/13/1995 �
Funeral home:
S E A L
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
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Gibso�'COUnty Hea�tb Com,�i� er
Princeton, Indiana O1/il/07
Address Date
Recorded locally in Book No. 12 Page No. 120 Filed: 07/14/1995
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