Aff - Newman, Norman B_4/28/1978�
I-==— -�r-
,
+
�' .
a
- --- �.�_..:..._ ...._...___..
RECORD OP DE:1TH
, GIBSON COUNTY DEPART�IIENT OF HEALTH
� - _ PRINCETON, IND[ANA
THIS IS TO CERTIFY, that our records show NORI�7AN BOREN NE4VMAN
died
11/30/77 at 10:25PM Owensville Convalescent Center
month day pear hour of death street, hospital, rural
Age at Deatli 78 Ses M' Color Wh' RSarital Status Married
yeara . write whether manied or single
Primai cause oF death Debility progressive
y given was
Signed by TPrr�r �nt�th � MT1 PnGa,rvi 1 l e a Trid
phpsician or coroner address �
Place of bm•ial�or i•emoval_ T i hPrtx ('vnth�ana,_Ind.
name ot cemetery address
Date of burial_12�2�2% HQl�xs O�vensville. Ind.
� Fiineml Director address
— ' i/ /% %� '-
/ �� !'i � !.�
(i+ / (. �, ��% _.-�-i ^.: �. . `_,= ": ', i=' ..�
i • �i t%
� SEAL Signed //
. Gibson County Health Commissioner
OaklandCity, Inda 4/28�78
� address date
� x-52 36 �2/8/77
P.ecorded locally in Uook 2�To. Page No. Filed: __
6
�
STATE OF INDIANA, COUNTY OF GIBSON, SS:
•
AFFIDAVIT FOR TRANSFER OF REAL ESTATE
BERTHA NES•7MAN, being first duly sworn upon oath, deposes and says that
she is the surviving widow of NORMAN B. NEV7MI�N, who died November 29,
1977, the owner of the following property in Gibson County, State o£
Indiana, to-wit:
iJilson's Enlargement, Part o£ Lot 7w�o (2)
that NORMAN B. NEWMAN left a Will which was probated in the Gibson
Circuit Court on December 20, 1977, and that under the terms of Item II
of said Will, this affiant, BERTHA NEWMAN, is the owner of a life
estate in all of the above described real estate.
BERTHA NEWMAN makes this affidant for the purpose o£ causina the
Auditor of Gibson County, Indiana, to transfer the above real estate
to her name for taxation £or the period of her lifetime
DATED this cY p day of April, 1978.
�c � l` hrz �2u.w�vca�-�.
Bertha tdewman
SUBSCRIBED AND STVORN to before me this O� O y of April, 1978.
�e- �
Nota� " P blic
A resident of Gibson County, Indiana.
i�1y Commission Expires:
/ � ��