Death Certificate - Norrick, Edith_5/21/1982p
ItECONll OF DEATH �,
�
GIBSON COUNTY DEPARTMENT OF HEALTH
PRINCETON, 1NDIANA �
'PfilS 1S'I'O CERTIFY, that our recorda show EDITH NORRICK ��
_ 5/E/$2_ at 10:40AM Good_Sama�itan,Nrsg. Home Oakland Cit.y, Ind.
month day year hour of death street, hoapital, rural
Age at Deatii _ 8j SPr Fe. �lor Wh• Marital Statue M.
Y�� � � write whether married or single
Primary� raase of death. e ven �v9�_ Arteriosclerosis .
Signed by_____ H. A. Peters, D.O. Oakland City, Ind.
Place of burial or
Date of
SF.AI.
physician or coroner
, Augusta
name of cemetery
5/$/$2 Corn Mortuary
Fiineral Director
addrnss
Augusta, Ind.
address
Oakland City, Ind.
addrnss
!,� �¢��'�r �° , ;�:,�:
Signed
Gibson County Heslth Commiss�oner
��cland citY. Ind. 5/i8j82
address ��
Itecorciecl locall}• in book No. 10 Page No. 67 �led: j�i.$l�9 _
�
:.
�