Aff - Finch, Lillian M_3/27/1989•, .�
RECORD OF DEATH
• .
GIBSON COUNTY DBPAR'PDiF.NT OF HEALTH
PRWCETOh.INDIANA
THIS IS TO CERTIFY, that our records show LILLIAN t�lARIE FZNCH died
09/23/1988 et 6:35 PM wirth Osteopathic Hospital, Oakland City, IN
month dey yeer hour ot deeth street. hospitnl.�rurnl
87 female white widowed
Age at Death Sez Color ntarital Staws
yeere ' - write whether merried or single
Primerycauseofdeathgivenwa� Respiratrov Distress, Pneumonia,
Coma
Signedby Terry Gehlhausen, D.O.
phyeician or coroner
Plece of buria! or removal Fosythe Cemetery
neme of cemetery
DateofburiaL 9/26/1988 Corn Mortuary
Funerel D'vecmr
SEAL
Oakland City, IN
eddress
Oakland City, IN
eddress
Oakland City, IN
Signed W�k��'1G�. "�'IW'�i
Gibson Coun[y Health Co� issioner
Oakland City, II� September 28, 1988
eddress date
Recorded locally in book No. 11 Page No. 72 Filed: September 28 , 1988
0
.. ... � �
AFFIDAVIT OF HEIRSHIP
Comes ttOw RAYMOND E. JONEg, hein� d�ily ewnrn upnn hi� o�th,
and states as follows:
1. That he is an adult and the hrnther nf the dece�ient,
Lillian M. Finch, whn died intesYate, a re�ident of �ihson
County, Indiana, on the 23rd day of Sentemher, ]9RN,
2. That at the time of Lillian M. Finch's dearh, she was
the owner of the fol]owing described rea] E'.^�tc1YP ]ocata_d in
Oakland t;ity, Gibson Counry, Indiana, and desrr �l?ed as fo.l].nw�,
'"�r e
�."" � � 1
to-wi t : r_,,;.�: -= � �
i�� :::.. 's: .�C
311 Dale Street, Oakland Ci-ty`f In�i"ian�'��
:�rl� / 4.LJ
3. This affiant f�.irther srara�;ath?r'tha �a'id Li779an ht.
i
. � �j':;:s�i i� ;t�'
rinch, left surviving her the follnwing:�,,,a' ,s
,inyce A. Thnm�snn, adult c�a�.ighter
Jerry L. Finch, adult son
4. That sdld deredent lefY no other child or �hi1.`iren, nnr
descendants of any �redeceased chi]d nr rhi]rlren, anri th�it a]7
survivnrs are rompetent ad�.tlts.
5. That Lillian M. Finch waG a widow at the t.ime nf. her
death.
DATED this U day of � .�4�+R•
� �, - f \�1��%:G
RAY OI � � S
STATE OF TEXAS ]
] SS:
COUNTY OF Zp �c� ]
Suhscribed an�i �worn to hefore me, ? tdotary Pnb]ir. in ar�d
f�r said Co�.inty and Srate, rhis � day nf. N°a�rn�?f r-
1988.
My Commission Expires:
q�a-���
�L`� Y�+y
) �J
/) -- jJntary P!thllr
.
�..
;• r. �-�.:5'1
I reG�de in �r�ZO� i�� r..nunty.
THIS INSTRUMENT PREPARSD gv LEnN r. STOtaE, A'P�T'pRWEY