Death Certificate - Loveless, Elma_10/3/1977RECORD OF DEATH . •
GIBSON COUVTY DEPART�fENT OF HEALTH
PRI\'CETON, INDIA\?A .
THIS IS TO CERTIFY, that our records sho�v ELMA LOVcLESS died
9ay 11, 1975 at 7�3�M Forest Del Nrsg. Home Princeton, Ind.
month day ceaz hour of death street, hospital, rurdl
Age at Death 71 Sex Female Color White _111arital Status Widor�ed
years write a-hether married or single
Primaiy cause of deatli given was ATteriosclerotic heart [j�'PR4P
Signed by JamPe F. Peck, M P Pti'� *+�BtC�3�� ��?E}
physician or coroner addrnss
Place of burial or removal MontgomeT,y Oakland City_, Ind.
name of cemeterc address
Date of burial ,�/1�/75 I.amh_APAaPC MPmnrlal C:ha�l �k1An� �ity, In[L
Funeral Director address
SEAL
Sie �ed /�""�i ''���<����/1�,[(.��/11�0
Gibson County Health Commissioner
Princeton, Ind.
address
Recorded locallc in book No. 9 page \TO.—_�Filed :_ 5/1 �/a K
date