Death Certificate - Mobley, Vera Lona_10/1/1976RECORD OF DEATH • i
GIBSON COUIv'TY DEPART:IIENT OF HEALTH
PRINCETON, INDL�INA
VERA LONA MOBLEY
THIS IS TO CERTIFY, that our records show died
4/2/19�6 at 4�00 am R F? 1 Owensville, Indiana
month dap year hour of death street, hospital, rural
50 Female whit married
Age at Death Sek Color— �farital Status
�-ears write whether married or single
H.ydroptolic pneumonia 1 hr.
Primary cause of death given was
Coronary Insufficiency 2 days
Signed by Glenn Dickenson DO Owensville, Indiana
ph�-sician or coroner address
Maumee AR Owensville, Indiana
Place of burial or removal
name of cemetery address
Date of burial �"��'�196� Holder Funeral Home Owensville, Indiana
Fh�neral Director address
✓V !/���"� G � �'-�l C �`�.C/
SEAL Signed �
Gibson County Health Commissioner
Oakland Cit.y, Indiana 9/28/1976
_ address date
Recorded localh in book No. H-5� page ATO. 9� Filed: �"�4/196�