Death Certificate - Blythe, Kathleen_3/5/2002� � �
GIBSO�UNTY DEPARTMENT OF HEALTH
� 800 S. Prince St.
Princeton, Indiana 47670
' 812-385-3831
RECORD OF DEATH
THIS IS TO CSRTIFY
that accordiag to the records of the Gibson County Department of Health,
KATHL$EN BLYTHE
Died on 02/21/2002 at 8:10 AM
Good Samaritan Nursing Home
210 Gibson
Oakland City IN 47660
Age at death . 85 Years
Marital Status: Widowed
Sex: F
Color: White
Cause of death: Intra Cerebral Hemmorhage, 8 days.
H/o Fall.
Signed by: Kashif Z. Iqbal
P.O. Box 266
Oakland City IN
Place of burial Southwestern indiana Regional
or removal: Crematory
Ddle IN
Date of burial: 02/23/2002
Funeral home: Lamb-Basham Memorial Chapel
S E A L
226 E. Washington
Oakland City IN 47660
Signed by r�, �. �/,�ct�j/J /„S�//
�_
Gibson County Health Commissioner
Princeton, Indiana 02/26/02
Address Date
Recorded locally in Book No. 14 Page No. 33 Filed: 02/26/2002