Death Certificate - James, Laura_7/17/2003, GI�N COUNTY DEPARTMEN� HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THI3 IS TO CSRTIPY
that accordiag to the recorda of the Oibaon County Department of Health,
LAIIRA JAMSS
Died on 09/25/1994 at 3:45 PM
Wirth Osteopahtic Hospital
Hi Way 64 West
Oakland City IN 47660
Age dt dedth . 89 Years
Marital 3tatus: Married
Sex: F
Color: white
Cause of death: Acute Pulmonary Embolism, minutes.
chronic Zmmobility and Debilitation
cHF Chronic Anxiety, xistory of pain
Pulmonary Embolism.
Signed by: Terry Gehlhausen, DO
Hwy 64 West
Oakland City ZN 47660
Place of burial Maple Hill
or removal:
PTiRCetOR IN 47670
Date of burial: 09/28/1994
Funeral_hoyqes:;.^..•Lamb-Basham Memorial Chapel
: i ....
_ ' _.�,��, 2�26-.:E. Washington
-� �' Oaklz:•d City ZN 47660
� � ' .' ' Signed by ""' G i����/'�Y/
• ' 1 h
S E A�L'�. .,-
Gibson County Hea t Commissioner
Princeton, Indiana OS/16/03
Address Date
Recorded locally in Book No. 12 Page No. 100 F'iled: 09/29/1994