Death Certificate - Kellner, Edward Oliver_1/13/1986ECORD OP DEATH
GIBSO • UNTY DEPr1RT➢4ENT OF HEAL'1`H�
,: ` PBINCETON, INDIANA
�. .
AIS IS TO CERTIFY", that our records show ��g� OLIVER I�LIdJEft died
11/ 14 % 1985 a 6:15 A.bi. Buckskin R.R.n2 Elberfeld, In.
month day year hour of death street, hospital, rural
,ge at Death 75
Se�- rlale Color ��ite ;�farital Status M�71�
�,�� write whether married or �ngle
'rimaiy cause of death gicen was_ nta�;�,.,ant r.
�igned bc jn�s Lutz, M.D.
physician or coroner
St. Jo u:'s
'lace of burial or removal
name of cemetery
EVansville, In•
address
Buckskin, In•
address
)ate oF burial rTn�, LZ,19R5 C'nrn Oakland City, In. __ _
F�cieral Director address
SE aL
1�����.ti,�
Signe�l
Gibson County Health Co �ssioner
Oakland City, Ln. 11/20/IIS
address date
Recordecl locall� in Uool: No. 10 page \To. 158 Filed: 11/19/85
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