Death Certificate - Esche, Ada G_2/18/1971RECORD OF DEATH � �
GIBSON COU\TY DEP_ART�iE\T OF HEALTH
PRI\CETO\�,IhDIA\A
THIS IS TO CERTIFY, that our records show ADA G. ESCHE died
January � 1971 at10��5PM Gib. Gen Hosp Princeton Inc
monih dap year hour of death stmet, hospital, rural
:1oe at Death 61 Ses Female Color iJhite` ��MaTi'ied
pea� �vrite wheiher married or single
Primarp cause of death given «�a� MyoCSPdlal Infal�CtiOn
Signedby- Willlam R. WPlls� NfT) Prinr.Ptnn�TnA
- physician or coroner � .. address �
Place of burial or removal Mt. Olive Cemetery hit. Olympus, Ind.
name of cemetery address
Date of burial 1/10/'/1 Kenaall
- , Funeral Director
SEAL �igned J�l��1t-7`�.6`6'�Y'`'�"�G ""
... Gibson County Health Commissioner
�"' �`� Princeton Ind. 2/lt3/�1 '
� ��� �-- �address Date
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Reco ded locally in book`No. � Page \To. L4 Fi1ed: Z/10/71
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