Death Certificate - Grubb, Floral_2/28/1996GIBSON �UNTY DEPARTMENT OF�TH
800 S. Prince St.
- Princeton, Indiana 47670
812-385-3831
F3cCORD OF DEATH
THIS IS TO CERTZFY
that according to the records of the Gibson County Department of Health,
r^LC�L G.'iUBB
Died on 10/12/199? at
Good Samaritan Nursing Home
210 Gibson " ;
Oakland City IN 47660
Age at death . 84 Years Sex: F
A4arital Status: 47idowzd Calar: ;4hite
Cause of death: Sudden Death Syndrome
Re current cystics, Dementia
Signed by: Terry Gehlhausen, DO
Awy 64 West
Oakland City IN 47660
Place of burial Montgomery Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Oakland City IN 47660
10/16/1994
Lamb-Basham Memorial Chapel
226 E. Washington
Oakland City IN 47660
Signed by �"���� ?�`�'�
Gibson Couaty Heal Commissioner
Oakland City, Indiana 02/22/96
Address Date
Recorded locally in Book No. 12 Page No. 101 Filed: 10/19/1994