The URL can be used to link to this page

Death Certificate - Martin, Beulah Hazel_1/20/1977+� 7'ir- y.. . . . _ . i . . .-V -f �. t,,_`i^T {t�" � - . . - , . .' , . ( � ' ` /� - ' �,. Z� �F �F. _ _ + i _ -1� % r. , : , . .. . . • . ; � - . , . , . . . • , ' . � ' � � , ', � , ' ..,; • ' . - � 7:; , ..� . . � �'; � . . . � - -� . � . . . i ,.. , _` -......_._,-�.. . - .. — ' _�e._. v_�_•.. .. .., ,� :. . . _ . . -. •.:•_ ._ _ _ _ _ __ _ ."__ �_ ._ _ __._,_';�. s ' 4 : RECORD OF DEATH . � � GIBSON COtiNTl DEPr1RTlIENT OF HFALTH � . PRINCETON, 1\DI.�1�iA � 3EUL�° ?�4?EL GLASS THIS IS TO CERTIFY, that our records sho�v died ` Sept. 9, �So. 7.7.:55 3?<. Somervill�, P° Oakl�n�l City, Indiana � at • , ' month day� year hour of death , street, hospital, rural � S ;ema1A rrhite divorced :Age at Deatli 5� Se� Colm•— llai•itnl Stltus ' ' � * years �crite whether married or single ._ � ., , Primary cause of death gi�=en �eas '%on�estivA failure Generalized Carcinomatosis . Y fioward �;opp, DO Oalrlancl Cit��, ir.�7iana � Signed bp phesician or coroner address Somercille; Somerville� .T.T'r7�3Y13 Place.of burial or remocal ' name of cemetery " address . _ , , 0/12/].9,9 Corn ��ortuary O�kland Citp, Indiana • - • Date of burial � F4meral Director � • address _ . � ' ,i .7, - � � , � � � �; ./ �° .. . ` l�� i%��/ �:,��/yC G- '�c ka,11 � . SEAL Signed Gibson Gounty Health Commissioner ' - • .�,� . : . Oakland City, In�1;an� 12/3/7.975 , � � . � - ' . aaaress date . r-�R 295 0/7.]./].05� � — P,c�orded locall� in book No. - Page No�— -= Fi!ed: - - - - - - - - ---A — . , � ; ' • 7 ' • , , . � • �� Page No. � Prepared by BENTON TITLE Princeton, Indisna � FOflN 10 I\ / . _ . _ . . _ . . _ . • _ l �. � t . . _�.Y�. . . . , ' � . . . . - . . � � . .1_ . _ �/^ i ,f�..f. �:'�..� -. . �. .-.