Death Certificate - Griesemer, Olie_12/15/1971RECORD.OF DEATH • � , •
GIBSON COli\TTT DEPART\SENT OF HEALTH
PRI\*CETON, [NDIAil*A
THIS IS TO CERTIFY, that our records sho�v OLIE GAIESEPIEE died
June 19 1969 at `Holiday Manor Nursing Home, Princeton, Ind.
month day qear hour of death street, hospital, rural '
Age at Death 91 Sex Female Color �ahite HarTied �
years �rrite «•hether married or singie
Primary cause of death given'was Arteriosclerotic Heart Disease
Signed b�- William R. Wells, NID Princeton. Ind.
_ „ _ . ph�sician oz.coroner - . -� - r-- � - address�" " ' ' �� '
I.O.O.F. Hazleton Ind.
Place of burial or removal +
Date of
name of cereterp
6/21/1969 Colvin & Son
SEAL
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� • - Ftinerel Director
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` 4.
`,
address
Princeton, Ind.
Slgn�,��!�!����-t-�lPV .
Gibson County Health Commissioner
Princeton, Ind. - 12/15/19�1
_ add�+ess � Date .
. . � ='
Recorded locally in liook No. �-^, page ATo. 261 Filed: 6��3�1969