Death Certificate - Ferguson, Opha M_5/26/1977RECORD OF DEATH .
�
GIBSON COUNTY DEPARTIIIENT OF HEALTH
PRIVCETON,INDIANA
THIS IS�TO CERTIFY, that our records show OPHA M. FERGUSON
1/21/197� at 5�20AM Gib. Gen. Hosp. Princeton, Ind.
month day pear� hour of death street, hospital, rural
Age at Deatli �71 Sex Fe. Color �' �larital Status Married
years write whether married or singie
Primaig� cause of death given was Myocardial
Signed by B. C. Brin�, DO
physician or coroner
Place of bui�a] or removal I: 0. 0. F
name of cemetery
tion
Princeton, Ind.
• address
Francisco, Ind.
address
Date of burial 1�23�70 Kendall FUneral Home Princeton, Ind.
�neral Director address
SE�1L
Gt� ���t � �i %�.�
<
sigae
Gibson County Health Co 'ssioner
Oakland City, Ind. �/25/77
address date
P.eccided locally in book No. 8 page No. 2 F�led: 1 30 70