Death Certificate - Johnson, Ruth Ellen_4/10/1996RECORD OF DEATH
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GIBSO� COli\TY DEPART\•IE\T OF HEALTH
PRIVCETO�.I�DIA\�A -
THIS IS TO CERTIFI', chat our records
RIITH EI.LEN JOHNSON
�farch 13, 1996 a S:OOPM Gibson General Hospital, Princeton, IN
momh day year hour of deach - - streec. hospi�al, rural
A�e at Deach 1Z �e,c Female Color �ite yiarital Staru Married
e ' write w'hether married or single
�:ears
Primarv cause of death �i��en «�a Cardiac Arrest (minutes) Congestive Heart Failure (vears)
A ertension ears Diabetes Mellitus Arterial Fibrilations
Signed by Ramesh Patel hID Pr eddre s�n iv
physician or comner
Au usta Cemeter Augusta, IN
Place of burial or removal g y addres�
� name of cemecen�
Dateofburia March 16, 1996 Colvin Funeral Home, Inc. Princeton, IN
Funeral Direcmr address
SE�I.
Recorded locally in book \
�!/'��rn'LJ�. ���r'r,�:l
Signed ,
� - -Gibson Countp Health Co issioner
Oakland City, IN March 22, 1996
addres>
Pa;e \0 6 Filed �arch 22 1996
date