Death Certificate - Nossett, Simon L_10/11/1985►{LCOI2D OP DEATH • �
GIBSON COUNTY DEPART,IIENT OF HEALTH
PKINCETON,INDiANA
Tif1S IS TO CERT[Fl, that our records show SIMOPI L. NOSSETT died �
3/27/85 _at 7AM 530 W. College St. Oakland City, Ind.
monch day yenr hour of death street, hospital, rura!
Age at Death 90 Ser Male ��or Whit�farital Status blarried
yean write whether married or single
Prim.ir�� cause of death gicen was Pulmonary Edema
Howard N. Ropp, DO Oakland City, InC.
Signed b}-
�physicia^ o* ecreaer ad3rees � -
Place of buri.�l or removal Montgomery Oakland City, Ind. .
name of cemetery address
Dateofburial 3/30/85 Lamb—HPdq s�Raaham nak7antLCit�, rn:�_
Fwneral D'uector address
SE:�L
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Gibson County Health Commissioner
. � Oakland Citv, Ind. 4/3/85
. • � address dnte
Recordecl IocaUp in buok No. 10 page No. 143 ��ed: 4/3/85
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