Death Certificate - Fansler, Edward F_9/18/1978RF:COItD OF DRATH •
.
GIBSON COUNTY DEPARTI�iLNT OF HEALTH
PRiNCETON, INDIANA
TIIIS IS TO CERTIFY, thnt our recorda ahow EDy,LRD F. FANSI.ER died
�/1�/78 Ar 2+40AR7 Wirth Hnsp. Oak,�nd City� Ind.
month day year hour of death etmet, hoepitnl, rurol
Age at Death 55 Sex M� Color �►� Marital Status Sin�le
yeare wrlte whether msrrfed ar eingle
Primary cause of death given was Toxemia
Si��ed by Gerald G. Gray� D.O. Oakland City, Ind. _
, Ayalefan or eovvaur odJm.e
Plncu of burinl or remove�l—�_ $ui:he�tdn Momorial P�irk Woet Terre Hnute, Ind.
mma of cemetery � addreae
Dnteofburi� 7�18/78 Bedino Chapel Of The Valley 212 Nat'1 Av. West Terre
�e� nsre�wr aaa��n Haute, Ind.
SEAL
��¢ I "" !�G �� . � c � �/
Sign �
Gibaon County Hea1Ch Commlaeloner �
Oakland City. Ind. 7f24/78
addreee dete
H-52 ra 45 �led: �124'��8
Recotded locally. in book No- ge No-