Death Certificate - Erdell, Henry Joseph_4/28/1975RECORD OF DE:1'CH �
•
GIL'SO\� COliNTI" llEP9RT\IF.\'T OF II�ALTH - .
PRI\CETOV, I\DIA\a � `' ` �
- \
TIiIS IS TO CERT[FY, that oui' records show -����°- JeS�F� "Aj��L�' •
died -
Feb. 12. 74 _at Fna? �_�� OaY.land Citv Ind.;
month : da}• }-�:ar ' , hour of death street, ho�pital, rural . � ._
Age at Death f�e� it31e - Color Sdhitp :llarital Status W+dowed
' y.ars � n-rite «�hether married or single
Primary cause of death given �sas—�°n..-3r_te�lascl�_rasi-s
Signed b�• ?'-• ?1. FPtarsy ��.L�. Oaklan� Citv In�.
physician or coroner address
Place of burial or �emo�•a1 Fnr�yt�a ��la„� �.�y�_T_,��
name of cemetery + address
Date of burial 2/14/74 �nrr_ m�,-r,���.y Caklan��tt.y, Tn�.
Funeral Director address
SFAL
9
'� �.i'v'f `i� ��� � � . .
Signed
Gibson County Health Commissioner
Princeton, Ind, 3/18/74
address - date
Recorded Iocally in book No. u-�1 Page No. �a Filed: �/�� ��4