Death Certificate - Callis, Evah Lucretia_7/28/1983:�RECORD OF DEATH � �
GIBSON COUI��TI' DEPARTI'iENT OF HEALTH
PRINCETON, Ih`DIAhA
THIS IS TO CERTI�1, that our records show_ EVAH LUCRETIA CALLIS
1/4/80 at 10:32PD1 Gib. Gen. HosD. Princeton, Ind,
month day year hour of death strnet, hospital, rural
Age at Death $� Sex Fe • Color �• A4arital Status M•
cears u-rite a-hetLer married or =ingle
Primar�� cause of death given was Pu
Signed bp B• C. Brink, DO
ph�cian or coroner
Place of burial or remo�•a1 Clark
name 'of cemeterc
Date of buri:
SEAL
1/8/80 Holder
�neral Director
Princeton, Ind.
a�idrecc
Owensville, Ind.
address
Owensville, Ind.
address
� ��/ .�'!'Lr � , �,� ,
Signed
Gibson County Aealth Commissioner
Oakland City, Ind'. 7/28/83
aaare� , darz
., ,-
Recorded locall�• in book No. 1 n Page No. 1 Ftiled:-1/�ZfRn ''