Death Certificate - Gladish, Claude Orval_9/5/1978RECORD OF DEAT� � • •
GIBSON COUNTY DEPARTMEATT OF HEALTH
PRINCETON,INDIANA
TffiS IS TO CERTIFY, that our records show CLAUDE ORVAL GI,ADISH
7/13/78 at 10AM RR #1 Box 215 Oakland City, Ind.
month day pear hour of death street, hospital, rural
Age at Death 77 Sex M• Color �' Marital Status Married
pears w-rite �chether manied or single
Primary cause of death given was Cancer Pancreas
Signed by
H. A. Peters, D.O. Oakland City, Ind.
physician or coroner address
Place of burial or removal Montgomery Oakland City, Ind.
name of cemeterp address
Date of burial 7�15�78 Corn Mortuary Oakland City, Ind.
Fwneral Director address
� v Y / �w"/ L � � ( �,C/
1
SEAL Signed
Gibson County Health Commissioner
Oakland City, Ind. 7/17�78
address
Recorded locally in book No. H-5� Page \To. �'S Filed: 7�17�78
date