Death Certificate - McEllhiney, Mildred Margaret_10/25/1977�_ - _
. _ � . ------ . -- -----
� .� RECORD OF DEATH •,°,: ' ::�_. .: - c,• . - . � -
J: � � �
' � ' , . °�. : . '_ : � GIBSOiv' COUNTY DEPARTMENT OF HEALTH
� � � PRINCETON, INDIANA
. ._ -: ' THIS IS TO CERTIFY, that our records show� •-• �r�IZDRED NARvARET NcELLHINEY
, 10/5/1977 ' a��a
at_ _ 9�3�Pm Gib. Gen. Hosp. Princeton, Ind.
�-' month day year , hour of death �
street, hospitai, rural
Age at Death 56 cex Fe . ,, y� ,
years Color n4arital Status Married
� write whether married or single
_ Primary cause_of deatli given was Carcinoma left lung _
Signed bv R. E. Weitzel, M.D. Princeton, Ind,
physician oricoroner address
Place of burial or remoeal : maple Hill Princeton, Ind.
. . . name of cemetery address
Date of buria 10�8/77 Colvim & Son Princeton, Ind.
. � FLneral Ditector
. . . address
�
�J�� f
/ ' �Q ��
SEAL !��I/�'��-"i � G-. �'-%�?. � �'?J
SignerL /
Gibson County Heatth Co miasioner
Oakland City, Ind lp�ls���
� address date
Recorded locally in book No. 9 page No. �9 "Filed: 10�11/%%