Death Certificate - Kissel, Zell_5/1/1975, ��� /
RECORD OF DEATH �
�
GIBSON COUNTY DEPAR'P�IENT OF HEALTH
PRIVCETON, INDIANA
THIS IS TO CERTIFY, that our i•ecords slio�ti� 7,Ei.i, KISSET. died
Jan. 19, 19�5 at 4c30PM RR #1 Princeton, Ind.
month day yeaz hour of death street, hospital, rural
Age at Death 69 Sex Fe. Color wh�+o �farital Status p���e�
years write whether married or single
Pi•imary cause of death given was AcutP,�y�car�181 Zhfa�^ct���'i
g�gn�d by R. F.. Weit2el, t� D PT'i*+[`Qton� Ind
physician or coroner address
Place of bui�al or removal Providenee RR g�g�c�ggg����,
name of cemeterp address
Date of Uurial 1/23/75 Colvin & Son p�.� „,.e*„„ �„.e
Fvneial Director _��������i�+� ddr s�
SEAL
�� i�Y � / ��� ' �
Siened
Gibson County Health Comaussioner
Princeton, Znd. g/�q/�<
address date
Recorded locally in book ATo. $-��--Page \To. 1 Filed: 1�29/75