Death Certificate - Carson, Katie Edna_4/4/1983RECORD OF DEATH �
�
GIBSON COUNTY DEPARI`I�iENT OF HEALTH
PRINCETON,INDIAN�
THIS IS TO CERTIFY, that our records show KATIL �DIQA C9RS�tl'
2�18/82 ,�t 8:30AN Gib. Gen. Hosp. Princeton, Ind.
month day year hour of death street, hospital, nral
Age at Death 79 Sex Me' Color '`Vh• Marital
yeara
Primary cause of death given was Renal failure
Signed by Arun G. Kumar, M. D.
physician or coroner
Place of burial oi• removal I.0 . 0. F.
Date of
SEAL
name of cemeterc
2?/82 Colvin
Fiineral Director
M.
write a•hether married or single
Princeton, Ind.
address
Princeton, Ind.
address
Princeton,Ind.
address
W G�� �° �� � �z
5���
Gibson County Health Commissioner
Oakland City, Ind. 2/24/82
address date
Recorded locally in book I�TO. 10 Page No. 60 �1�: 2�24�82