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Death Certificate - McEllhiney, Cunacum_7/22/1974� . � . , , � ,_ , - _ .. :, �� , . ,.� � ' ' ' , . .. . >, ; � : RECORD OF: DEATH � • - _ _ ; i+ ; � ? � i-0 .� GIBSON COliNTY DEPART\IENT OF HEALTH r - I , - ' � � . � PRI\*CETON, INDIANA . . . ! i_ : - - - � . � . . � , -- � - . '" } ' _'" ' • �.- . IDA E. . McELLHINEY ' � ,, , t `- .; °1'fiIS IS TO CERTIFY, that odr records show ' M died _` < s � :1 , 14 1973 :�,a{ 10�20am Gib. Gen. Hoap. � Princeton, Indiana �� =` ' .� , 4i�.?monAth dsy 9ear-y t hovr;of�death. .. •. ' - ��street� hospital,.rural., �.� i�,i i4�:s s� �,. 4 i;t . :.' ; �,`.r'�95 � '� -Famale • < . 4. White ` '� - �d'�, ; r �. Age at Death - � 4ex Color Marital Status t�1ldoxed ,,_t ,_ ., �.- �' �� =1 . .- yeara' S 1 . _ . � � . ' _ ' wnte .whether. mamed� or single�5' , . }� t�. . ". : : � ' _ . y: � .. , , . . :� . . �� - ,- . ��.. t,PPnmary'cau'se of death giveu waa"•.��•Cerebral vascular°accldent •(24 hrs.).�,', � ,^� �, • , � t .> - `Arteriosoleroti6 vascular �diaease.-(�5yra. ) � s, 3,�`_,�t ; �� ,;: ♦ . � - -:. . - . . . .. ',. ... �I:F , `� :- � ": y William S.;:Dye. AID'._ . .. . Oaklanfl City;�:Infliana ," :, �`: 4 i� ' . Signed by.. ;.w � c ' t� _ . .i t.,.._.? �: phys�cian,or coioner _ ': ! ' •_ _ � _ � _ __(saddress i`� � � � .; � - � � �. �t' ;-r � > > Montgomery- - . � �kland City, Indiana ` �; ` Place of bnnal or removal" •• ' ': . `� .�, ., . ! .'� � � . , . name of cemetery � address � � 4 - :� � . e a �'�.. � i , j�? � ��i�:: ' ,.�, - -.- - ., . . . . :' -.'.:i.. .�. tj_. Date of buria� 1/17%1:973 �gendall,F�neral Home . Princeton;• Indiana ' �•, �••,:. � i ' " .' ; ,,', - ' .,. F`uneral Director � � ' • address � . i: . .�_ - , � , - : . � � - . , � � �. - .:f _ . . . . � � � � . - , . . . . rt-; '� . ' .�� <Y *' .r. . . ' ' .. _ ... � ; S.�" .' . ' ....r. � / i 2 . . . ' - . .. ' .., zi , �. : � . . , • W��%��. F� -� SEz�.L'� ` �� , . �• . ' _-Signed � ' . % -. :. � - � y! . : • � .. , . . . � . . , � Gibson County Health+Commissionei'`' _ ' _ ... �; - L � '/ 97 � - � -?S. , � • • Princeton, -Indiana � ,;�%22 1 4 � � • � _ f . r. '�i�V�'� s � , . . ._ �' . � address � � --. . . ti�- { � . t <s � � �T�. r: � r;,,. ,,x. , , �- _ . _� :> . �Recorded'focallyan book No. .8 - °' Page No. 6� f Filed: � 1/22I1973.._ � '; r:� �: � 3 . . `� .�s ��s .s' . � ^ - ` .; �e, .v , , . . � , < .t. � �, , i. ._ ,,i t�. � �. '. y�. t - � . ' .�_ . . _ .. _ . — ' _ ._— ... —__ " _ ' " __— . t- �. •,�i ' ! y - .� . . . . . ii . � �. _ . - �. ! i � ' '" ' � 't _ _� ' . _ - �r� i . � ,.. . . . . . �ti __ -� S :�, __ y......,.�� . . . _ �--`RECORD"OF'DEATA' , : ` - c GIBSON-COUNTY DEPARTJIENT OF"HEALTH � � :, , '� �.�5. � � � ' �J � PRII:CETOti, I�'DIa\?� .� • t . _ ` '., ': i� . � . �. . . -' . .: : _ , : _ . . -'-T = � . . ° , , �c z . ' ` • . CUtJACUtd �IcBLLHINEY. ; -. :THIS IS.TO:CERTIFY„thaf'our records sho�v�-" � died ', : . 7 : �t �' : : .. . , .'.. . . . . - -- .".: . ..� �g =;26 1951at;i1i00pm:-'• -• 124 Ao. Jackson -, Oakland ��City,,InQ. �T.• , ' - month � day year- ! hour �of death . -. __ � � _ - street, hospital, rural - �"", f � ...� , ' . � 19a1e ~- White . . .: Marriefl .z ' Age. at Death s � 5 = Ge4' Coloi �• Marital Status - ,`' _- • , . '. S � - -years x.. . . . .- ' i [ � . .. _ . . ' - . : . wnte whether marr�ed- or smgle J • ..,; .•`.Coronary.Occlusion .� 2.hra. _ �, ,� ', ` Primazy, cause of death given was "' '. -.'? . . i'p,�,..t t . ..-., . . ' �6_ ° — ! �„ y,'fl.,W. Woofl P'ID� _". -r:;.•�Oakland City; Indiana :': � Signed by , . ' ; `. . �� physician or coroner . address _ '�.� •,� t ;r �.: � ° . ' � : 4lontgomery ' � ` . .Oaklgnd City, Indiana �`> f Place of burial or iemovaT � � " ' "" � � ' � -name of cemeten� ' address . �: � ;e _ ,.,�� :'.8/2971951' `� I,amD;.`& 3on _ � � oaklaad City. Iridiana , °.'� , Date of,bunal , address � . FuneraLDirector . . s - �+• �. F'<. '�� . • .� .... . . . -. .#1 . . F ti ' � . 1,..j e � .t ' � . ' . 's� � ��-� . _ _ '. �t- • � �� . y. :t . . . .. . � .. 3 � � � �.�. z �u` .. . �: .. : ` , '• t " �.. i SFiAL tf ', ' � ' � Signed _. . - ` �%�%._ . `� -y _ � . -. _ Gibson County Health Comm�ss�oner�.�, � " " ` � `'' • � Prineeton, Indiana ' ' Jnly.-22.. �19�4 �:,� 4.� :� ..� _ �,. - �, � .� � ` ' • . • address � date - - . . t' . . _ . � , . � . : . : '��',: �:. H 46 �' � � .215 • 9/�+/1951 �.X :,'s Recorded, locally, �n •book:No.- �� page No. Filed: � . , . '� ';-'. , � , _ .t; . 3 i: - ' . . . . i' , . , � � ... � .. . � . . . . ' ' , . . . .. ' � : . — I. . . . . .. .. . .._. .__ 't_ .. .. � . • .. _•.. .' .