Death Certificate - Grubb, Effie E_1/16/1975\
� �RECORD OF DEATH
•
GIBSON�COUA�TY DEPARTIIENT OF HEALTII
PRINCETO\,INDIaVA
THIS IS TO CERTIFY, that our reco,•ds sho«- E�F'T, �;, r.�rt�a d��
_at 10:i0Ai5 Gih. Gen. �osp. Princeton, Ind. . .
month ay � year hour of death �- — street, hospital, rura!
Age at Death °� Sex Fa>n�1�Color `•��� te _14larital Status '-'=3rried
years .write schether married or single
Primary cause of death given was Cancer o.` breasY,
Signedby J3mes F. Pecic� ?�'.i:. FrinnP�nn, TnA
phcsician or coroner address -
Place of burial or removal �'�'�n7-° yi71 Frirceton. Tn�?.
name of cemeten� address
Dateofburial ��2��74 ^.ni.rin . ¢�„ ,- ,,
—f�'_ne^.,�; �,,.,..
Funerel Directar � address
SEAL
ffa� ,,::�1,�>;/��/'�
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Gibson Countp Health Commissioner
L'T'7.'1CPt02'1. T_�'?�. 1,1 �i�7K
address date
Recorded locally in book No. � Page No. i.��Filed:
x