Death Certificate - Griess, Oma E_11/19/1984�
NECORD OF DEATH
�
�
GIBSON COUI`TTY DEPARTMENT OF HEALTH
PRINCETON,INDIANA '
THIS IS TO CERTII']', ths! ;icc records show OMA E. GRIESS
died
6/10/83 10:20PM Gib. Gen. Hosp. Princeton, INd.
at__ __
month dap year hour of death street, hospital, rural
Age at Death • �� Sex Fe • Color �• niarital Status Married
ye8� write whether married or aingle
Primary cause of death given was Uremia
Signed by Wm. R. Wells, MD Princeton, INd.
physieian or coroner address
Place of bw•ial or removnl ��T17ite Church Princeton, Ind.
name of cemetery , address �
Date of burial 6'�13/83 Colvin F. H. Princeton, Ind.
�neral Director address
Grl�'!�a-ni �.°�,�,v
SE:\L g�gn�
Gibson County Health Commissioner
Oakland City, Ind. 11/20/84
� address ��
.°.ecorded locally in lwok No.l � Page No. 9 4 F��� : 6/ 17 / 8 3