Death Certificate - Myslik, Irene Lola_8/31/19872ECORD OF DEATH � �
' GIBSON COUNTY D�PARThIENT OF HEALTH
� PRINCETON,INDIANA
THIS IS TO CERTIFY, that our records show IRENE LOLA MYSL
, 9/4/83 at SPM 514 College St. Oakland City, Ind/
month day year hour of death strect, hospital, rural
Age at Death 85 g� Fe . Color Wh Marital Statua M-
� - S�s'e write whether married or single
Primary cause of death given was Arteriosclerotic heart clj._g�ase-arrhTthmia —_
Signed by �ailliam H. Gettv Mn Evansu�l�a,--�r3r�.
physician or coroner addrees
Place of burial or removaL Ed�ewoQd______�r g�U>ood_,�l-t
name of cemeterp address
Date of burial 4���83 Boon�_�_ttL.�t.�G_.Chand�e�n,T,e, Evansville,
Funeral Director address I nd .
sEaL
�/1/ L��1 G�. � � l�i,?J
��
Gibson County Health CommiSSioner
Oakland City, Ind. 4/7/83
address date
Recorded locall�� in book No. 1� page No. $ 9 F;�ed : 4/ 7/ 8 3