Death Certificate - Green, Anna_9/8/1988RECORD OF DEATH � �
GIBSON COUNTY DEPART�tENT OF HEALTH
PRI\CETON, INDIANA �
THIS IS TO CERTIFY, that our records show ANi]A GREEN
Sept. 5, 1987 at 9:30 A.M. Wirth Osteooathic Hospital Oakland City,In.
month dey pear hour of death street, hospi[al, rurel
Age at Death 74 Sex Female Color Z^lhite nqarital Status i�iarried
yeers write whether married or single
Primary cause of death gi��en was Renal Failure ( 3 days) , Congestive Heart Failure
(60 days)., Hypertensive Cardio Vascular Disease. .
Signedby�ienry A. Peters, D.O. Oakland City, In.
physician or coroner eddress
Placeofburialorremoval M�plP Hill Princeton, In.
name of cemetery address
DateofburiaL September 7, 1987 Kendall Funeral Home Princeton, In.
' Funeral Director address
SEAL
Recorded locally in book A'o. 11 Page �0 4 6
Signed-------�!i���'��n'%'!G'. m'�"�6�/$r�f
Gibson County Heelth Com sioner
Oakland City, In. September 16, 1987
address dnte
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September 16, 1987