Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Mitchell, Opal H_12/12/1969
RECORD OF DEATH : •� • '. GIBSON COUNTY DEPARTMENT OF HEALTH �, , . . . � � - - PRINCETON, INDIANA, � ' � - .. � � ' ' THIS IS T0 CERTIFY, that our records show 'AATHUR T. MITCAF.T,T. ' died NovembeT 12 1969 ' atQe55Ab1 Gib, Gen. Hocp..Prin'P nn, Tnd. . month , .�- dap year ' ; . - hour� of death � �_� � � strnet, �hospital, rural . � . c, .. , . . . _ . _ . . �. - , , . Age at Death 7$ Sex biale _Color �'-' � �•�hitP� ��a�r-l-ed �_ - - years �� - : - � . � � write whetfier�married �or single.: `� - � . Primary cause of death given was C�rP1�r�+1 T�Pmarrh�+gP Signed,by J�mes .F. Peck MD _ Prtnr.n.tnn, j� `- . - �- °�-� .- � � �—. . -��physician or coroner'��� '" -. - -� -� � '. ^ - " addiess - � . � '. �, � . . . , . -� . . - . . . , Place of burial or remova � � " name ofcemetery _ _ • , � a dress', . � Date of buria 11/14/69 Colvin & Son PrinC ton d. � - � . Funeml Director �� � . . " ss. -�A� � . . .. . � �q{'� - " .. SEAL _ ., i Signe ' . , � ;, .,� "' ' : � - . � _ � , Gibson County Health� Commissioner _ '1V'.t � � � �v - . � � . �� � � aJ�`� _ l ` - • -- . °;� _ �!:'� .. : � Princet�n,� jnA,_.' � 7-'L/�2uj� . =. � 1 . _ �,. ,A G address . . . - Date . , `� ', , � ',.�y . . . t'. Recocded lcealiy in book,Ne:' � page No: L�� �led: jl/1%/69_- ` �; �c . �.� � a1'� . . , � �. -