Death Certificate - Kohlmeyer, Shirley E_1/11/1991� �
G I B S O N C O U N T Y D E P A R T M E N T
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O R D O F D E A T H
O F H E A L T H
THIS IS TO CERT'IFY
that according to the records of the Gibson County Department of Health,
SHIRLEY E. KOHLMEYER
Died on 12/23/1990 at 2:00 A.M
Residence
, 2104 Taylor Ave.
Princeton IN 47670
Age at death: 61 Sex: F Color: White Marital Status: Married
Cause of death: Aplastic Anemia, 3 years
Hepatic Failure, Chronic Active Hepatitis,
Crohn's Disease
Signed by: Robert McElroy, MD
515 Read Street
Evansville IN 47714
Place of burial Maple Hill
or removal:
Princeton IN 47670
Date of burial: 12/26/1990
F�neral home:
S E A L
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by (il/�}�/��9�'°����
Gibson County Health(�ommissioner
Oakland City, Indiana O1/02/91
Address Date
n
Recorded locally in Book No. 11 Page No. 133 Filed: O1/02/1991