Death Certificate - Gredgel, Nellie Lavern_5/1/1963LocaL �
RECORD OF DEATH
C1TY DEPART�IENT OF HEALTH
PRINCETOR, INDI:IA�A
TffiS IS TO CERTIFl, that our records show
�
month O day cear hour of death � street, hospital, x{%al
Age at Death�Sex�-P�„�..Q-Qi • Color ��� � � ��/�
}�ears � ' . � �crite �ehether married or single
Primar�� cause of death e��en
Signed Uy
coroner
Plnce of burial or removal (--GO
' name of
�
Date of burial:�l_!�s/S� ���CCA��X��-� ��`+�/ ' �S'�cM�w� .�/�� � ���
� ,�•,._ � �c�-. ; Funeral Direetor address �
! �' •� . , : . .
i: , /
FS�AL ? "' ` Signed ���� -`!/ �SeC�•:
a; - - `% " �//�
` � � ���/6a
�� J. � , L �j-- �[� �%
. ' � •. . . . /L L-LO / � ^�-C i ��liv
' '' � _ — ; : address --� � '� dat�
Record'ed locall�� iri book No�`'-` �' Page \to.���
„ •1
,` �_ '
u
—_ __ £_--`-`