Death Certificate - Ellis, Geneva B_12/21/1978= RECORD OF DEATH � �
GIBSOAT COUI�TTY DEPARTIIENT OF HEALTH
PRINCETON,INDIANA
TffiS IS TO CERTIFY, that our records sho�a GENEVA B. ELLIS died
5�2�78 at 1��5AM Gib. Gen.Hosp. Princeton, Ind.
month day year hour of death street, hospital, rural
Age at Death 53 SeY Fe' Color Wh' A'Iarital Status Married
years write �ahether married or single
Primary cause of death given was Carcinoma of Sigmoid Colon with Generalized
Abdomirml Metastatis
Signed by R. E. Weitzel, MD Princeton, Ind .
ph}-sician or coroner address
Place of burial or removal I.O.O.F. Ffazleton, Ind.
name of cemeten� address
Date of Uuria] 5/3/7$ Colvins Princeton, Ind.
F�nersl Director address �
SEAL
VV V 1 ��•`� `, `,�C �u
Signed
Gibson County Health Commissioner
OaklandCity, Ind. 12/i8/78
address date
Recorded locally in Uook No. 9 Page No. 63 F'iled:—��5�78