Death Certificate - House, Marietta_4/19/1996I
G I B S O N
COUNT• DEPARTMENT � HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O RD O F D E A T H
1'HIS IS TO CER1'IFY
that according to the records of the Gihson County Department of Health,
MARIETTA HOUSE
Died on 04/11/1992 at 6:30 A.M.
Gibson General Hospital
1808 Shzrman Drive
Princeton IN 47670
Age at-death" c. 83 Years Sex: £ -- _. _,
riarital Status: Married Color: White _
"Cause of death: Cerebro Vascular Accident
Cardiomyopathy, Chronic CHF, Cardiac Arrythmia.
Signed by: Arun C. Kumar, MD
105 N. 2nd Ave.
Princeton IN 47670
Pla�e ef burial Memorial Park Crematory/
or removal: Evansville, In./IOOF Cemetery
Princeton IN 47670
Date of burial: 04/16/1992
F�neral home: Kendall Funeral Home
520 S. Main St.
' Princeton IN 47670
S E A L
� � �.�1. �,�`
!APR 19 1996.
��AUDITOR��
Signed by ---'sE�`-"s'-�``� - o./'��—
Gibson County Health issioner
Oa;:land Ci�y - ^a 04r14/92
Address ^ Date
Recorded locally in Book No. 12 Page No. 36 Filed: 04/14/1992