Death Certificate - Henry, Willa Ora_3/15/1976�_
RECORD OF DEATH � � ����,ES��i3-�- i� • /,'�
GIBSON COUNTY DEPARTIIENT OF HEALTH
PRINCETON, INDIANA
THIS IS TO CERTIFY, that our records show WILLA OFIA FEN?iY died
Sapt. 15. 1968at S�lOPM RR �2 Elebrfeld, Ind.
month day yeaz hour of death street, hospital, rural
Age at Death R'i $ex Fe Color i�h—Marital
years
Primary cause of death given was n�� � {}e�
T�
Widowed
write whether married or siagle
Signed by R r' $£+�7f� �g Pri nratn„ � 7��
phpsician or coroner address
Place of burial or removal Spur¢eon Spuraeon. Ind.
name of cemetery address
Date of
Director
sEaL
Oa k?
address
e
� G�"� `.�2 �° ' < �.�
ss�e
Gibson County Health Comm ioner
Oskland C`ty, Ind. 3/12/�6
aadress date
Recorded ]ceally in book A'o. A'S0 page No_ 10 ��ed: 9/24/68