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Home My WebLink AboutDeath Certificate - Lintz, Mary_4/17/1959LOCAL � RECORD OF DEATH � GIBSON COUNTY DEPARTMENT OF HEALTH - YRINCETOti,INDIANA � - IS TO CERTIFY, that our records show....../...�....�. .. .........� ... ........... .......................... .... died ..N..`,.[�c�t.t��l� .............. � �....-......�9s��,..�. at.... A,..?sf...� .. ..:�J�4.. .��•u � month day _ year hour of death sGreey �hospitai� rural Age at deaLh�.�/... Sex.�.VXX..�GI.!/.... Color..G.(1./GC.I.0 .........................(N.�!.�?=.P.r4xdr�..F.Sr.... .............. �� years • � write whether mazried or sictgle Primary cause of death given was .— . : - .. :.:..:.:....—..-.:.:....... :.. ��.�. ..............., Signed by..(�/..GZ(l.L.hl.. Place of �buriai or-rem�sl..... Date of burial.��.�.'.e.! � �- �! - - � . (SF.AL)�:. z,- .. . . � r.�-��...e�:Q...:?,�iD.�..-....-�... .��.�,�,.....�,d.._. or coroner . -� � adsd _ �.. ,.r�C.�.....=........ ��....lc�. .�:.�.c.�.:�,..� . �RE of cemetery ' -, ad ress � � �-��.�-c,��,..-...�.�..�.�-�.�,.. ..� ieral Director " - � / address . � � . - Signed.. .. .....j,�Q //./.. ...:.... ...... . .Crf.�'.� ..n��./..f..4!!J. �" Gib n Count ealth Commi ioner •. -._ _. -�r. �-' - . .._ � �'. -� ' / . , � � .. � . . . � - .. . ' .. . .. . . . . .. . ...... . � . �... . �...... . � j ; - � ' - ' a.cldress - � �� . •...... .. . ... te �..,- : , . .Y-, : . - _ • . � � . . � Recorded locally in book ATo.y..�7 �Page No...��.� �� /- 3 - s`S_ .: .!