Death Certificate - Chesser, Nellie Arbutus_9/24/2003a �� o� i�� �
GIBS�COUNTY DEPARTMENT O�EALTH [,�--,-� l
800 S. Prince St. � f l
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CSRTIFY
that according to the recorda of the Qibaon County Department of Health,
NELLIS ARBIITIIS CH&SSBR
Died oa 02/13/2003 at 10:15AM
xesidence
211 W. Oak st.
Oakland City IN
Age at death . 87 Years
Marital Status: Widowed
Sex: F
Color: White
Cauae of death: Respiratory Distress with Failure, Pneumonia.
Signed by: Paul V. Hanning, M.D.
welborn Clinic
Princeton IN 47670
Place of burial Oak Hill
or removal: Union Street
Winslow IN 47598
Date of burial: 02/15/2003
Funezal home: Lamb-Basham Memorial Chapel
e
S E A L
226 E. Washington
Oakland City IN 47660
� � � � �
SEP 2 4 2003
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GIBSON COUNf� '��!���Tn�
Signed by � ` G ��K�/' �
Gibson County Health Commissioner
Princeton, indiana 09/24/03
Address Date
Recorded locally in Book No. 14 Page No. 57 Filed: 02/20/2003