Death Certificate - Nelson, Eythel Bell_5/6/1994: RECORD OF DEATH . .
, GIBSOti COUNTY DEPARTMENT OF HEALTH
PR[\CETO\. I\DIA\A
THIS IS TO CERTIFY,'that our records show EYTHEL BELL NELSON died
November �. 1991 ar O•4f1 P l�i R cidenra 419 Snu[h Hart St Prinreton 2ndiana
month . day year hour of dee[h sveet hospital, mral
Age atDeath 8$ Sex Female Color �ite Marital Status Widowed
ye�y write whether macried or single
Primary cause of death given wa= Hemoptysis, 4 days Acute Pulmonary Edema 5 days
Ventricular Tachycardia 2 months, Ventricular Aneurysm, Arterosclerotic Heart Disease.
Signedby K. Murthy M.D. 105 North Second Ave. Princeton, Indiana
physician or coroner address
Place of burial or removal Montgomery Oakland City, Indiana
neme of ceme[ery address
Dateofburial November 6 1991 Colvin Funeral Home, Inc. Princeton, Indiana
Funerel Director address .
SEAL
Signed � ?i.i�� f..% ,��,..�:-;
�` Gib'son Coun[y Health Ca¢G issioner
Oakland City, Indiana November S, 1991
address da[e
Recorded locally in book No. 12 Page No 24 Filed: November 8, 1991