Death Certificate - Jarrett, Ruth N_9/19/1977�L��!i/ .._ �.n,T.9 �..� .. :. . . .: . . . . ...... : .. .. . .. . -�_ t t ._ '?•� _ 4. .. _ • .
RECORD OF DEATH � • � _ �, , ,'
� � ;;>
GIBSON COUN'i'Y DEPART111ENT OF HEALTH
PRINCETOY, INDIANA . -- �
THIS IS TO CEftTIFY, that our records show RUTH N. .JARRETT � --- . a�� .
'� 9/15/1977 a� 9��5AM Gib. Gen. Hosn. Princeton, Ind. ,
tr�� month day . year hour of death . ; street;-hoapital, ruial � �, '
'�a : i-.� Age at Death 64 �PX Fe • _Color � • Marital Status :M3r�led " l . . : :�
� . � 9�� , . . - write wtiether uisriied oz'�single .
' Primary cause of death given was Cancer of breast
Signed by
Place of burial or
Date of buriaL
James F. Peck, M.D.
.. physician or coroner �' . � � .
movai ' I• 0. 0. F
, name of cemetery
9/17,/77� � Colvin & S
Flmeral
� � address - -
Princeton,'. Ind. -
-- Princetori, Irid. .
addreas
�
_ : � G�7 `�i � ��-/�e < ,�,� . _
. SEAL Signed / , r�.f; -
. � � �� • " . .. Ge6son County Health Co ssioner - - •
Oakland City, Ind. 9/16/7�
- � , ' � _ � � address, . date �
�. •
Recorded locally in book No. 9 page No. �7 F'iled: - 9�16/%� �- - -
. =��:
` , .
� , , ' , o .. ... •